Hematoma subcapsular esplénico en paciente portador de rasgo falciforme

• Diego Ugalde ^[1] ; Guillermo Conte ^[1] ; Héctor Ugalde ^[1] ; Gastón Figueroa ^[1] ; Marianela Cuneo ^[1] ; Macarena Muñoz ^[1] ; Javiera Mayor ^[1]
  1. [1] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 139, Nº. 9, 2011, págs. 1192-1195
• Idioma: español
• Títulos paralelos:
  • Sub capsular splenic hematoma in a sickle cell trait carrier. Case report
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• Resumen

  • Drepanocytic anemia is an uncommon hereditary disease in Chile. The heterozygous state of drepanocytic anemia or "sickle trait" has a frequency of 8% 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.