Splenic infarction associated with exposure to heigths in a patient with sickle cell anemia: a case report

Revista GICOS

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Title Splenic infarction associated with exposure to heigths in a patient with sickle cell anemia: a case report
Infarto esplénico asociado a exposición a alturas en paciente con anemia de células falciformes: reporte de un caso Splenic infarction associated with exposure to heigths in a patient with sickle cell anemia: a case report
 
Creator Puentes, Zuliany
Linares, Javier
Ruz, Humberto
 
Subject
splenic infarction, height, sickle cell anemia, splenectomy.

infarto esplénico, altura, anemia de células falciforme, esplenectomía. splenic infarction, height, sickle cell anemia, splenectomy.
 
Description It is presented the clinical case of a 42-year-old male patient, half blood, natural and from Valencia State Carabobo; with no known pathological antecedents so far, who when exposed to a height of approximately 4,118 meters above sea level (when ascending through the trans-Andean route in the Collado del Cóndor in Mérida, Venezuela) later began with a picture of abdominal pain located in the hypochondrium concomitant left, nausea preceded by vomiting, an imaging study was requested where splenic infarction was evidenced. Associating the evolution of the clinical picture and the recent history of exposure to heights, a peripheral blood smear was performed by induction with sodium metabisulfite; being diagnosed with sickle cell anemia. Conservative treatment is maintained for 72 hours; however, the clinical course becomes torpid so total splenectomy is performed.
Se presenta el caso clínico de paciente masculino de 42 años de edad, mestizo, natural y procedente de Valencia Estado Carabobo; sin antecedentes patológicos conocidos hasta el momento, quien al exponerse a una altura de aproximadamente 4.118 metros sobre el nivel del mar (al ascender por la vía trasandina en el Collado del Cóndor en Mérida, Venezuela) posteriormente inicia con cuadro de dolor abdominal localizado en hipocondrio izquierdo concomitante, náuseas precedidas de vómitos, se solicita estudio imagenológico donde se evidenció infarto esplénico. Asociando la evolución del cuadro clínico y el reciente antecedente de exposición a alturas, se realiza frotis de sangre periférico mediante la inducción con metabisulfito de sodio; diagnosticándose con anemia de células falciformes. Se mantiene tratamiento conservador durante 72 horas; sin embargo, la evolución clínica se torna tórpida por lo que se realiza esplenectomía total.It is presented the clinical case of a 42-year-old male patient, half blood, natural and from Valencia State Carabobo; with no known pathological antecedents so far, who when exposed to a height of approximately 4,118 meters above sea level (when ascending through the trans-Andean route in the Collado del Cóndor in Mérida, Venezuela) later began with a picture of abdominal pain located in the hypochondrium concomitant left, nausea preceded by vomiting, an imaging study was requested where splenic infarction was evidenced. Associating the evolution of the clinical picture and the recent history of exposure to heights, a peripheral blood smear was performed by induction with sodium metabisulfite; being diagnosed with sickle cell anemia. Conservative treatment is maintained for 72 hours; however, the clinical course becomes torpid so total splenectomy is performed.
 
Publisher GICOS
 
Contributor

 
Date 2021-10-12
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion



 
Format application/pdf
 
Identifier http://erevistas.saber.ula.ve/index.php/gicos/article/view/17431
 
Source GICOS; Vol. 6, Núm. 4 (2021): julio-diciembre; 249-256
2610-797X
 
Language spa
 
Relation http://erevistas.saber.ula.ve/index.php/gicos/article/view/17431/21921928629
 
Rights Copyright (c) 2021 GICOS
 

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