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

Authors :
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
Source :
Case Reports in Oncology, Vol 7, Iss 1, Pp 233-238 (2014)
Publication Year :
2014
Publisher :
Karger Publishers, 2014.

Abstract

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.

Details

Language :
English
ISSN :
16626575
Volume :
7
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Case Reports in Oncology
Publication Type :
Academic Journal
Accession number :
edsdoj.9a04a70a984b1390125064fb732e1c
Document Type :
article
Full Text :
https://doi.org/10.1159/000360813