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Hematoma subcapsular esplénico en paciente portador de rasgo falciforme / Sub capsular splenic hematoma in a sickle cell trait carrier. Case report

Rev Med Chil; 139(9): 1192-1195, set. 2011. ilus
Artículo en Español | LILACS | ID: lil-612244

Resumen

Drepanocytic anemia is an uncommon hereditary disease in Chile. The heterozygous state of drepanocytic anemia or "sickle trait" has a frequency of 8 percent among Afro-Americans. A small number of patients carrying hemoglobin S are homozygous, with clinical manifestations of hemolytic anemia and thrombotic disease. Sickle trait is usually asymptomatic. We report a 59-year-old male who presented an acute abdominal pain and dyspnea while staying at high altitude. Six days later, an angio CAT scan showed the presence of a subcapsular splenic hematoma that was managed conservatively. Sickle cell induction with sodium metabisulphite was positive. Hemoglobin electrophoresis confirmed the sickle trait.
Biblioteca responsable: BR1.1