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PAIN ABDOMEN AT EXTREME ALTITUDES: SINISTER IMPLICATIONS
Medical Journal, Armed Forces India
|July 14, 2016
Summary
Prolonged high altitude exposure can cause serious abdominal vein clots, including portal vein thrombosis. Early anticoagulation treatment is crucial for managing these conditions and improving patient outcomes.
Area of Science:
- Vascular Surgery
- Internal Medicine
- High-Altitude Physiology
Background:
- High altitude environments pose unique physiological challenges.
- Venous thromboembolism is a recognized risk, but specific manifestations in abdominal vessels are less understood.
- Prolonged stays at high altitude have been anecdotally linked to various medical conditions.
Purpose of the Study:
- To present two cases of abdominal venous thrombosis.
- To highlight the association between high altitude exposure and these thromboses.
- To discuss diagnostic and management strategies.
Main Methods:
- Case report analysis of two patients.
- Diagnostic imaging including CT scan and color Doppler ultrasound.
- Clinical assessment and follow-up.
Main Results:
- Two patients developed portal, splenic, and superior mesenteric vein thromboses after prolonged high altitude stays.
- Initial symptoms were vague abdominal pain, progressing to hepatosplenomegaly and pleural effusion.
- Diagnosis confirmed by imaging showing thrombosed veins and portosystemic collaterals.
- One patient required splenectomy for a splenic hematoma.
Conclusions:
- High altitude exposure is a potential risk factor for abdominal venous thrombosis.
- Early diagnosis via imaging is essential.
- Prompt anticoagulation therapy is effective in managing these cases.
- Surgical intervention may be necessary for complications like splenic hematoma.
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