Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient

Autor: Takuya Narita, Itsuto Hamano, Ayumu Kusaka, Hiromi Murasawa, Noriko Tokui, Kengo Imanishi, Teppei Okamoto, Hayato Yamamoto, Atsushi Imai, Shingo Hatakeyama, Takahiro Yoneyama, Yasuhiro Hashimoto, Takuya Koie, Chikara Ohyama, Kenichi Hakamada
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Case Reports in Oncology, Vol 7, Iss 1, Pp 233-238 (2014)
Druh dokumentu: article
ISSN: 1662-6575
DOI: 10.1159/000360813
Popis: A retroperitoneal tumor was identified in a 57-year-old female belonging to Jehovah's Witnesses during a health check. Subsequent examination led to the suspicion of a right pheochromocytoma. The patient wished to be treated by bloodless surgery and consulted our hospital after being refused surgery by several hospitals. She signed a liability waiver for blood transfusion refusal. After obtaining consent for diluted autotransfusion and preoperative administration of erythropoietin, the surgery was scheduled. The tumor was attached to the inferior vena cava and left renal vein and engulfed the right renal artery and vein. The tumor and right kidney were removed en bloc. Operative time was 8 h and 18 min, with 1,770 ml of blood loss. The histopathological diagnosis was paraganglioma with the normal adrenal gland within the border of the tumor. The patient was discharged from the hospital with no postoperative complications.
Databáze: Directory of Open Access Journals