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Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome.

Authors :
Santucci L
Almeida A
Source :
The Journal of emergency medicine [J Emerg Med] 2024 Apr; Vol. 66 (4), pp. e523-e525. Date of Electronic Publication: 2023 Nov 29.
Publication Year :
2024

Abstract

Background: Sickle cell trait (SCT), the heterozygous form of sickle cell disease, is generally thought of as a benign condition. However, it is possible for those with SCT to have serious complications, especially when they are exposed to high altitudes where oxygen levels are low.<br />Case Report: We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic syndrome, have likely not been thoroughly investigated. Physicians should add this condition to their differential if they practice at locations near airports or in areas of higher altitude and if their patients have a past medical history of SCT.<br />Competing Interests: Declaration of competing interest None.<br /> (Copyright © 2023 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
0736-4679
Volume :
66
Issue :
4
Database :
MEDLINE
Journal :
The Journal of emergency medicine
Publication Type :
Academic Journal
Accession number :
38461136
Full Text :
https://doi.org/10.1016/j.jemermed.2023.11.026