Unusual cause of acute abdomen. Sickle cell trait and nonhypoxic splenic infarction

JAMA ◽  
1977 ◽  
Vol 238 (20) ◽  
pp. 2173-2174 ◽  
Author(s):  
D. T. King
2021 ◽  
pp. 100047
Author(s):  
Álvaro Alejandre-de-Oña ◽  
Jaime Alonso-Muñoz ◽  
Pablo Demelo-Rodríguez ◽  
Jorge del-Toro-Cervera ◽  
Francisco Galeano-Valle

2013 ◽  
Vol 2013 (apr29 1) ◽  
pp. bcr2013008931-bcr2013008931
Author(s):  
M. Gupta ◽  
S. S. Lehl ◽  
K. Singh ◽  
R. Singh

1982 ◽  
Vol 67 (3) ◽  
pp. 232-232 ◽  
Author(s):  
M. Callís ◽  
J.J. Petit ◽  
C. Jordan ◽  
J.L. Vives-Corrons ◽  
C. Ferrán

2011 ◽  
Vol 82 (1) ◽  
pp. 58-60 ◽  
Author(s):  
Tatsuya Norii ◽  
Theresa Hess Freeman ◽  
Adnan Alseidi ◽  
William P. Butler ◽  
Brendon L. Gelford

2012 ◽  
Vol 13 (4) ◽  
pp. 288-290 ◽  
Author(s):  
Walimuni Yohan Mendis Abeysekera ◽  
Warusha Dhammika Dulantha de Silva ◽  
Sharika Shashindrani Pinnaduwa ◽  
Anura Sarath Kumara Banagala

2020 ◽  
Vol 77 (4) ◽  
pp. 360-362
Author(s):  
Emanuel José Saad ◽  
Ayelén Tarditi Barra ◽  
Gabriela Monzoni ◽  
Carolina Villegas ◽  
Aldo Hugo Tabares

Introduction: Sickle cell trait (SCT) is a rare and underdiagnosed disorder in the Argentinian population. In this condition, individuals carry the mutation of the HbS gene in one of the two beta-globin genes. In general, SCT does not present with the typical manifestations of sickle cell anemia. However, under certain circumstances, some clinical characteristics of the disease may develop. Methods: We discussed the case of a 39-Year old man who presented with persistent abdominal pain of unknown origin after traveling to a high-altitude place. He underwent laparotomy without a definite diagnosis. After that, the patient developed signs of splenic infarction and pulmonary thromboembolism that were confirmed by computed tomography. Results: A sickling test was positive, and a hemoglobin electrophoresis revealed an abnormal fraction at the HbS level. In this context a diagnosis of SCT was made. Additional, tests revealed a strongly positive lupus anticoagulant. Conclusion: SCT presentation as abdominal pain and thromboembolic disease in adult patients after exposure to high altitudes is a rarely suspected diagnosis.


Author(s):  
Makoto Toyoda ◽  
Tadashi Kitamura ◽  
Kouki Nakashima ◽  
Yoshikiyo Matsunaga ◽  
Masaki Nie ◽  
...  

Abstract Sickle cell trait (SCT), a benign hematological condition affecting approximately 300 million individuals globally, is associated with an increased risk of vaso-occlusive disease. However, the risks related to surgery employing cardiopulmonary bypass in patients with SCT are not well established. Herein, we report the case of a 27-year-old African American man with SCT who underwent an emergency aortic repair for acute Stanford type A aortic dissection using hypothermic circulatory arrest. The patient developed a sickle cell crisis, which was followed by spontaneous splenic infarction and rupture, nonocclusive mesenteric ischemia, and spinal infarction.


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