{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:57:07Z","timestamp":1777859827639,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,12,27]],"date-time":"2017-12-27T00:00:00Z","timestamp":1514332800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Splenic syndrome is a rare presentation of sickle cell disease. It is important to rule out this possibility when an ethnically vulnerable patient presents with an acute abdominal symptoms in a background of precipitating events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report:<\/jats:title>\n                    <jats:p>A 26-year-old man who developed a severe abdominal pain at high altitude, found to have a tender splenomegaly. However, further inquiry revealed he is from an area where sickle cell disease is prevalent. Screening for sickle cell disease was positive. Radiological investigations confirmed a massive splenic infarction keeping with a diagnosis of splenic syndrome. Patient was managed conservatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Sickle cell trait is considered a benign carrier state. However, rarely they can present with life-threatening conditions. Therefore, a high degree of clinical suspicion is required for early diagnosis of these specific entities to avoid increased morbidity and mortality of these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2374373517747905","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T23:43:47Z","timestamp":1514504627000},"page":"153-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Splenic Syndrome in a Young Man at High Altitude with Undetected Sickle Cell Trait"],"prefix":"10.1177","volume":"5","author":[{"given":"CHKA","family":"Fernando","sequence":"first","affiliation":[{"name":"Colombo North Teaching Hospital, Ragama, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Mendis","sequence":"additional","affiliation":[{"name":"Colombo North Teaching Hospital, Ragama, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AP","family":"Upasena","sequence":"additional","affiliation":[{"name":"Colombo North Teaching Hospital, Ragama, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YJ","family":"Costa","sequence":"additional","affiliation":[{"name":"Colombo North Teaching Hospital, Ragama, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HS","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Haematology, Faculty of Medicine, University of Kelaniya, Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Moratuwagama","sequence":"additional","affiliation":[{"name":"Department of Haematology, Faculty of Medicine, University of Kelaniya, Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,12,27]]},"reference":[{"key":"bibr1-2374373517747905","first-page":"319","volume":"15","author":"Tantawy AAG","year":"2014","journal-title":"EJMHG"},{"key":"bibr2-2374373517747905","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198709243171301"},{"key":"bibr3-2374373517747905","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(78)90458-8"},{"key":"bibr4-2374373517747905","first-page":"377","volume":"48","author":"Sheikha A","year":"2005","journal-title":"Can J Surg"},{"key":"bibr5-2374373517747905","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2010.2"},{"key":"bibr6-2374373517747905","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.12.020"},{"key":"bibr7-2374373517747905","doi-asserted-by":"publisher","DOI":"10.1089\/ham.2012.1038"}],"container-title":["Journal of Patient Experience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2374373517747905","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2374373517747905","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2374373517747905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:38:30Z","timestamp":1777509510000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2374373517747905"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,27]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1177\/2374373517747905"],"URL":"https:\/\/doi.org\/10.1177\/2374373517747905","relation":{},"ISSN":["2374-3735","2374-3743"],"issn-type":[{"value":"2374-3735","type":"print"},{"value":"2374-3743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,27]]}}}