Ewha Med J.  2015 Jul;38(2):69-71. 10.12771/emj.2015.38.2.69.

Transfusion-free Management for the Severe Anemia Developed after Nephrectomy

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. imfell@yuhs.ac

Abstract

A 56-year-old woman with emphysematous pyelonephritis underwent an emergent left nephrectomy due to her religious creed. Postoperative hemoglobin level was decreased to 4.4 g/dL from preoperative value of 13.9 g/dL. The patient completely recovered without transfusion and was discharged on the 40th postoperative day without complication.

Keyword

Nephrectomy; Anemia; Transfusion free

MeSH Terms

Anemia*
Female
Humans
Middle Aged
Nephrectomy*
Pyelonephritis

Figure

  • Fig. 1 Computed tomography of abdomen-pelvis. It shows empysematous pyelonephritis (arrow).

  • Fig. 2 Changes in hematocrit (Hct) and hemoglobin (Hb) levels of a patient during preoperative (Preop) and postoperative period (POD, postoperative day).


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