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Bombay blood group discovered incidentally in a middle-aged female posted for hemithyroidectomy: A near miss

Authors :
Archana Shetty
Bhargavi K. N
Supriya T. R
Aishwarya Muralidharan
Source :
Journal of Krishna Institute of Medical Sciences University, Vol 13, Iss 1, Pp 152-155 (2024)
Publication Year :
2024
Publisher :
Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, 2024.

Abstract

ABO is the most widely utilized blood group system. Bombay blood group is a rare subtype of autosomal recessive group with absence of H antigen and presence of anti-H, anti-Aand anti-B antibodies. We present a case of a 51-yearold lady posted for hemithyroidectomy and incidentally detected to be of Bombay blood group when a blood unit was reserved for surgery. She was a non-secretor for H substance on saliva inhibition test. History of consanguineous marriage was present. We wish to reaffirm that ardent effort has to be undertaken to confirm all 'O' group individuals with reverse grouping during routine testing for blood groups, failing which the rare Bombay blood group can be misdiagnosed as 'O' resulting in an acute haemolytic reaction if any unit other than that of Bombay blood group is transfused. Individuals with this group need to be counselled about rarity and clinical implications of the same.

Details

Language :
English
ISSN :
22314261 and 14046849
Volume :
13
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Krishna Institute of Medical Sciences University
Publication Type :
Academic Journal
Accession number :
edsdoj.b24c7a9a140468498a36f53a959402c
Document Type :
article