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J Korean Surg Soc. 2000 Feb;58(2):280-284. Korean. Case Report.
Choi I , Cha JG , Roh JH , Cho CK , Kim HJ .
Department of Surgery, Chonnam University Medical School, Kwangju, Korea.

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.

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