Resumo

ARANGO-GUERRA, Pablo; BANOY-RESTREPO, Natalia  e  RODRIGUEZ-VEGA, Federico. Sickle trait and splenic infarction, a non-foreign entity in Antioquia population. CES Med. [online]. 2020, vol.34, n.2, pp.136-143.  Epub 01-Mar-2021. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.34.2.5.

Generally, patients with sickle cell trait have few manifestations of the sickle cell spectrum. Splenic infarction is rare, but is a documented complication of sickle cell trait and usually occurs under conditions of decreased partial pressure of oxygen, such as at high altitudes. We present the case of a young man with no previous history who presented sudden pain in the left hypochondrium after traveling to a high-altitude area. Splenic infarction was documented and sickle cell trait was later confirmed with hemoglobin electrophoresis as the etiology of the condition. Most patients remain ignorant of their sickle cell trait, which makes their approach challenging, delays diagnosis, and results in inappropriate management that may increase the extent of splenic infarction and eventually require splenectomy.

Palavras-chave : Sickle cell trait; Hemoglobin SC Disease; Splenic infarct; Hypoxia.

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