[Severe upper abdominal pain during a long distance flight].
Identifieur interne : 000149 ( Main/Corpus ); précédent : 000148; suivant : 000150[Severe upper abdominal pain during a long distance flight].
Auteurs : D. Bestehorn ; C. Schmidt ; G. LockSource :
- Deutsche medizinische Wochenschrift (1946) [ 1439-4413 ] ; 2014.
English descriptors
- KwdEn :
- Abdomen, Acute (etiology), Abdomen, Acute (therapy), Adult, Air Travel, Anemia, Sickle Cell (diagnosis), Diagnosis, Differential, Female, Genetic Carrier Screening, Germany, Ghana (ethnology), Humans, Medical History Taking, Splenic Infarction (diagnosis), Ultrasonography, alpha-Thalassemia (diagnosis).
- MESH :
- diagnosis : Anemia, Sickle Cell, Splenic Infarction, alpha-Thalassemia.
- ethnology : Ghana.
- etiology : Abdomen, Acute.
- therapy : Abdomen, Acute.
- Adult, Air Travel, Diagnosis, Differential, Female, Genetic Carrier Screening, Germany, Humans, Medical History Taking, Ultrasonography.
Abstract
A 43-year-old woman of Ghanaian origin presented with severe upper abdominal pain starting on a long distance flight. Physical examination revealed tenderness on palpation in the left upper abdomen and flank. There was no report of pre-existing conditions or permanent medication in the medical history.
DOI: 10.1055/s-0034-1370287
PubMed: 25254402
Links to Exploration step
pubmed:25254402Le document en format XML
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Lock</name><affiliation><nlm:affiliation>Klinik für Innere Medizin, Albertinen-Krankenhaus, Hamburg.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25254402</idno><idno type="pmid">25254402</idno><idno type="doi">10.1055/s-0034-1370287</idno><idno type="wicri:Area/Main/Corpus">000149</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000149</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Severe upper abdominal pain during a long distance flight].</title><author><name sortKey="Bestehorn, D" sort="Bestehorn, D" uniqKey="Bestehorn D" first="D" last="Bestehorn">D. Bestehorn</name><affiliation><nlm:affiliation>Klinik für Innere Medizin, Albertinen-Krankenhaus, Hamburg.</nlm:affiliation></affiliation></author><author><name sortKey="Schmidt, C" sort="Schmidt, C" uniqKey="Schmidt C" first="C" last="Schmidt">C. Schmidt</name><affiliation><nlm:affiliation>Klinik für Innere Medizin, Albertinen-Krankenhaus, Hamburg.</nlm:affiliation></affiliation></author><author><name sortKey="Lock, G" sort="Lock, G" uniqKey="Lock G" first="G" last="Lock">G. Lock</name><affiliation><nlm:affiliation>Klinik für Innere Medizin, Albertinen-Krankenhaus, Hamburg.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Deutsche medizinische Wochenschrift (1946)</title><idno type="eISSN">1439-4413</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdomen, Acute (etiology)</term><term>Abdomen, Acute (therapy)</term><term>Adult</term><term>Air Travel</term><term>Anemia, Sickle Cell (diagnosis)</term><term>Diagnosis, Differential</term><term>Female</term><term>Genetic Carrier Screening</term><term>Germany</term><term>Ghana (ethnology)</term><term>Humans</term><term>Medical History Taking</term><term>Splenic Infarction (diagnosis)</term><term>Ultrasonography</term><term>alpha-Thalassemia (diagnosis)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Anemia, Sickle Cell</term><term>Splenic Infarction</term><term>alpha-Thalassemia</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Abdomen, Acute</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Abdomen, Acute</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Air Travel</term><term>Diagnosis, Differential</term><term>Female</term><term>Genetic Carrier Screening</term><term>Germany</term><term>Humans</term><term>Medical History Taking</term><term>Ultrasonography</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 43-year-old woman of Ghanaian origin presented with severe upper abdominal pain starting on a long distance flight. Physical examination revealed tenderness on palpation in the left upper abdomen and flank. There was no report of pre-existing conditions or permanent medication in the medical history.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25254402</PMID><DateCompleted><Year>2014</Year><Month>11</Month><Day>21</Day></DateCompleted><DateRevised><Year>2017</Year><Month>11</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-4413</ISSN><JournalIssue CitedMedium="Internet"><Volume>139</Volume><Issue>40</Issue><PubDate><Year>2014</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Deutsche medizinische Wochenschrift (1946)</Title><ISOAbbreviation>Dtsch. Med. Wochenschr.</ISOAbbreviation></Journal><ArticleTitle>[Severe upper abdominal pain during a long distance flight].</ArticleTitle><Pagination><MedlinePgn>2026-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0034-1370287</ELocationID><Abstract><AbstractText Label="HISTORY AND CLINICAL FINDINGS" NlmCategory="METHODS">A 43-year-old woman of Ghanaian origin presented with severe upper abdominal pain starting on a long distance flight. Physical examination revealed tenderness on palpation in the left upper abdomen and flank. There was no report of pre-existing conditions or permanent medication in the medical history.</AbstractText><AbstractText Label="INVESTIGATIONS AND DIAGNOSIS" NlmCategory="METHODS">Laboratory tests showed signs of haemolytic anemia and elevated inflammatory parameters. The "thick blood smear" was normal. Ultrasonography revealed an enlarged spleen (14×5 cm) with inhomogeneous parenchyma and vast, diffusely spread hypoechoic lesions in perihilar location, interpreted as extended splenic infarction. Symptom onset on a long distance flight, haemolytic anemia and extended splenic infarction led to the assumption of a vasoocclusive crisis with haemolysis. Moleculargenetic tests proved the presence of HbSC-sickle cell disease and heterozygous alpha-thalassemia.</AbstractText><AbstractText Label="TREATMENT AND COURSE" NlmCategory="METHODS">After infusion of crystalloid solution the patient was asymptomatic further on. Due to splenic infarction she received prophylactic treatment with Cefuroxim. A vaccination against pneumococci, meningococci and Haemophilus influenza B was recommended.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Mild hypoxia and dehydration on a long distance flight can trigger a sickle cell crisis and may contribute to late clinical manifestation and diagnosis of sickle cell disease in some cases. Patients suffering from HbSC-sickle cell disease are at risk for the same life-threatening complications as patients with HbSS-sickle cell disease. HbSC-sickle cell disease should not be considered as a mild form of HbSS-sickle cell disease but as a separate disease with specific clinical manifestations. In contrast-enhanced ultrasonography, splenic infarction due to sickle cell crisis may markedly differ from "typical" arterial thromboembolic infarction.</AbstractText><CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bestehorn</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Klinik für Innere Medizin, Albertinen-Krankenhaus, Hamburg.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schmidt</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Klinik für Innere Medizin, Albertinen-Krankenhaus, Hamburg.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lock</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Klinik für Innere Medizin, Albertinen-Krankenhaus, Hamburg.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Heftige Oberbauchbeschwerden während eines Langstreckenfluges.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2014</Year><Month>09</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Dtsch Med Wochenschr</MedlineTA><NlmUniqueID>0006723</NlmUniqueID><ISSNLinking>0012-0472</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000006" MajorTopicYN="N">Abdomen, Acute</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064870" MajorTopicYN="Y">Air Travel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000755" MajorTopicYN="N">Anemia, Sickle Cell</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006580" MajorTopicYN="N">Genetic Carrier Screening</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N">Ghana</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008487" MajorTopicYN="N">Medical History Taking</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013159" MajorTopicYN="N">Splenic Infarction</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017085" MajorTopicYN="N">alpha-Thalassemia</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25254402</ArticleId><ArticleId IdType="doi">10.1055/s-0034-1370287</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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