J Korean Surg Soc.  2000 Feb;58(2):280-284.

Perioperative Management without Blood Transfusion in a Patient with Massive Hemoperitoneum Who Refused a Transfusion

Affiliations
  • 1Department of Surgery, Chonnam University Medical School, Kwangju, Korea.

Abstract

Although there are many controversies about clear-cut guidelines for blood transfusion, blood transfusions are critically important and essential in many emergency cases involving trauma to abdominal organs. However, occasionally there are certain situations in which blood transfusions cannot be made, despite clear indications for urgent blood transfusion based on clinical and laboratory findings. One is the case in which the patient refuses to receive a blood transfusion for reasons based on religious beliefs. We present a case of successful perioperative management without blood transfusion in a patient, a Jehovah's Witness, with a massive hemoperitoneum due to an injury caused by a motor vehicle accident.

Keyword

Hemoperitoneum; Perioperative management without blood transfusion; Jehovah's witness

MeSH Terms

Blood Transfusion*
Emergencies
Hemoperitoneum*
Humans
Motor Vehicles
Religion
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