A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait Patient
Sickle-cell trait is a common genetic abnormality in the African American population. A sickle-cell crisis in a patient with sickle-cell trait is uncommon at best. Abdominal painful crises are typical of patients with sickle cell anemia. The treatment for an abdominal painful crisis is usually medic...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/580453 |
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| author | Sofya H. Asfaw Gavin A. Falk Gareth Morris-Stiff Ralph J. Tuthill Matthew L. Moorman Michael A. Samotowka |
| author_facet | Sofya H. Asfaw Gavin A. Falk Gareth Morris-Stiff Ralph J. Tuthill Matthew L. Moorman Michael A. Samotowka |
| author_sort | Sofya H. Asfaw |
| collection | DOAJ |
| description | Sickle-cell trait is a common genetic abnormality in the African American population. A sickle-cell crisis in a patient with sickle-cell trait is uncommon at best. Abdominal painful crises are typical of patients with sickle cell anemia. The treatment for an abdominal painful crisis is usually medical and rarely surgical. We present the case of a cocaine-induced sickle-cell crisis in a sickle-cell trait patient that resulted in splenic, intestinal, and cerebral infarctions and multisystem organ failure necessitating a splenectomy, subtotal colectomy, and small bowel resection. This case highlights the diagnostic dilemma that abdominal pain can present in the sickle-cell population and illustrates the importance of recognizing the potential for traditionally medically managed illnesses to become surgical emergencies. |
| format | Article |
| id | doaj-art-5c4ed4d1a0f9484e93d3150aeae030bb |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-5c4ed4d1a0f9484e93d3150aeae030bb2025-08-20T02:05:42ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/580453580453A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait PatientSofya H. Asfaw0Gavin A. Falk1Gareth Morris-Stiff2Ralph J. Tuthill3Matthew L. Moorman4Michael A. Samotowka5Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USADepartment of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USADepartment of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USADepartment of Anatomic Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USADepartment of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USADepartment of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USASickle-cell trait is a common genetic abnormality in the African American population. A sickle-cell crisis in a patient with sickle-cell trait is uncommon at best. Abdominal painful crises are typical of patients with sickle cell anemia. The treatment for an abdominal painful crisis is usually medical and rarely surgical. We present the case of a cocaine-induced sickle-cell crisis in a sickle-cell trait patient that resulted in splenic, intestinal, and cerebral infarctions and multisystem organ failure necessitating a splenectomy, subtotal colectomy, and small bowel resection. This case highlights the diagnostic dilemma that abdominal pain can present in the sickle-cell population and illustrates the importance of recognizing the potential for traditionally medically managed illnesses to become surgical emergencies.http://dx.doi.org/10.1155/2013/580453 |
| spellingShingle | Sofya H. Asfaw Gavin A. Falk Gareth Morris-Stiff Ralph J. Tuthill Matthew L. Moorman Michael A. Samotowka A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait Patient Case Reports in Surgery |
| title | A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait Patient |
| title_full | A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait Patient |
| title_fullStr | A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait Patient |
| title_full_unstemmed | A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait Patient |
| title_short | A Unique Cause of Intestinal and Splenic Infarction in a Sickle Cell Trait Patient |
| title_sort | unique cause of intestinal and splenic infarction in a sickle cell trait patient |
| url | http://dx.doi.org/10.1155/2013/580453 |
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