Unusual cause of abdominal pain and jaundice in emergency: case report

Causa inusual de dolor abdominal e ictericia en emergencia: reporte de caso | 急诊中一种罕见的腹痛和黄疸原因:病例报告

Authors

  • Jessica Milagros Calcino-Cuela Servicio de Emergencia Hospital Edgardo Rebagliati Martins
  • Ricardo Jonathan Ayala-García Edgardo Rebagliati Martins Hospital, Emergency Service
  • Loyda Jocabed Miranda-Chávez Edgardo Rebagliati Martins Hospital, Emergency Service

DOI:

https://doi.org/10.25176/RFMH.v24i4.6531

Keywords:

bdominal pain, jaundice, spherocytosis , spherocytosis, hereditary, dengue

Abstract

We analyzed a young man with a history of jaundice since childhood and cholelithiasis, who presented with abdominal pain, jaundice and splenomegaly. Initially, a diagnosis of dengue was considered, given the prevalence of this disease in the patient's geographic region. However, additional testing identified hereditary spherocytosis, a genetic hemolytic disorder. The importance of considering alternative diagnoses in the face of common symptoms in emergencies is emphasized. Initial dengue-oriented management was followed by targeted treatment for hereditary spherocytosis after the diagnosis was confirmed, resulting in significant improvement in the patient. This case emphasizes the need for thorough anamnesis and meticulous diagnostic evaluation to prevent diagnostic errors and inappropriate treatment, highlighting how inherited diseases can mimic infectious conditions in complex clinical scenarios. 

 

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Author Biographies

Jessica Milagros Calcino-Cuela, Servicio de Emergencia Hospital Edgardo Rebagliati Martins

Medical Specialist in Emergency and Disaster Medicine

Ricardo Jonathan Ayala-García, Edgardo Rebagliati Martins Hospital, Emergency Service

Medical Specialist in Emergency and Disaster Medicine  

Loyda Jocabed Miranda-Chávez, Edgardo Rebagliati Martins Hospital, Emergency Service

Medical Specialist in Emergency and Disaster Medicine  

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Published

2024-10-31

How to Cite

Calcino-Cuela, J. M., Ayala-García, R. J. ., & Miranda-Chávez, L. J. . (2024). Unusual cause of abdominal pain and jaundice in emergency: case report: Causa inusual de dolor abdominal e ictericia en emergencia: reporte de caso | 急诊中一种罕见的腹痛和黄疸原因:病例报告. Revista De La Facultad De Medicina Humana, 24(4), 243–249. https://doi.org/10.25176/RFMH.v24i4.6531