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CASE REPORT
Year : 2017  |  Volume : 7  |  Issue : 4  |  Page : 272-274

Splenic infarction in two members of the family with sickle cell trait: A case report of rare complication


1 Department of General Surgery, AIIMS, Bhubaneswar, Odisha, India
2 Department of Transfusion Medicine AIIMS, Bhubaneswar, Odisha, India
3 Department of Radiodiagnosis, AIIMS, Bhubaneswar, Odisha, India
4 Department of Physical Medicine and Rehabilitation, AIIMS, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Mithilesh Kumar Sinha
Room No. 401, Academic Block, AIIMS, Bhubaneswar - 751 019, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijabmr.IJABMR_369_16

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Sickle cell trait is a highly prevalent condition. It is not a disease. However, it has been associated with few rare complications. Splenic infarction is one among them. The altitude-related hypoxia is the most common predisposing factor for this. The simultaneous occurrence of this complication in more than one member of a family is so rare that possibly, it is the only second such case report. We encountered this in two members of a family, the father and his son. They were on a religious visit to a 12,756 feet high mountain cave, when they developed pain left upper abdomen. A thorough workup including contrast-enhanced computed tomography abdomen established the diagnosis. Both recovered uneventfully on the conservative management. As it is a rare occurrence, the finding must be interpreted carefully. There is no need to screen the individuals for sickle cell trait before high-altitude travel.


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