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Case Report

Transfusion-free Management for the Severe Anemia Developed after Nephrectomy

Minjoo Lee, Changhyeok Hwang, Ji Hoon Lee, Seok-hyung Kim, Hae Yeul Park, Young Goo Song
The Ewha Medical Journal 2015;38(2):69-71. Published online: July 29, 2015

Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

Corresponding author: Young Goo Song. Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Korea. Tel: 82-2-2019-3319, Fax: 82-2-3463-3882, imfell@yuhs.ac
• Received: February 4, 2015   • Accepted: May 14, 2015

Copyright © 2015, The Ewha Medical Journal

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • A 56-year-old woman with emphysematous pyelonephritis underwent an emergent left nephrectomy due to her religious creed. Postoperative hemoglobin level was decreased to 4.4 g/dL from preoperative value of 13.9 g/dL. The patient completely recovered without transfusion and was discharged on the 40th postoperative day without complication.
  • Keywords: Nephrectomy; Anemia; Transfusion free
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Fig. 1

Computed tomography of abdomen-pelvis. It shows empysematous pyelonephritis (arrow).

emj-38-69-g001.jpg
Fig. 2

Changes in hematocrit (Hct) and hemoglobin (Hb) levels of a patient during preoperative (Preop) and postoperative period (POD, postoperative day).

emj-38-69-g002.jpg

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      Transfusion-free Management for the Severe Anemia Developed after Nephrectomy
      Ewha Med J. 2015;38(2):69-71.   Published online July 29, 2015
      DOI: https://doi.org/10.12771/emj.2015.38.2.69
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      Transfusion-free Management for the Severe Anemia Developed after Nephrectomy
      Ewha Med J. 2015;38(2):69-71.   Published online July 29, 2015
      DOI: https://doi.org/10.12771/emj.2015.38.2.69
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      Transfusion-free Management for the Severe Anemia Developed after Nephrectomy
      Image Image
      Fig. 1 Computed tomography of abdomen-pelvis. It shows empysematous pyelonephritis (arrow).
      Fig. 2 Changes in hematocrit (Hct) and hemoglobin (Hb) levels of a patient during preoperative (Preop) and postoperative period (POD, postoperative day).

      Fig. 1

      Fig. 2

      Transfusion-free Management for the Severe Anemia Developed after Nephrectomy
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