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Acute Blood Loss Anemia in the Setting of Abdominal Aortic Aneurysm Rupture in a Jehovah's Witness

Bolajoko O Fayoda1, Dhruv Patel1, Michele Davis1

  • 1Internal Medicine, The Brooklyn Hospital Center, Brooklyn, USA.

Cureus
|December 14, 2020
PubMed

Acute blood loss anemia occurs due to many variants. The standard of care in managing acute blood loss anemia is challenged in this case. Jehovah's Witnesses's (JW) management of blood loss anemia continues to remain a controversy in medicine since they do not allow the use of blood products. This case highlights the management of acute blood loss anemia, utilizing a multidisciplinary bloodless approach in a JW who underwent an endovascular aneurysmal repair (EVAR) of an impending rupture of abdominal aortic aneurysm (AAA). The severity of anemia with hemoglobin of 2.7 g/dL and survival outcome is unique; however, the minimal hemoglobin level required to sustain life is still unclear.

Keywords:
abdominal aortic aneurysmsacute blood loss anemiabloodless approachcritical anemiacritical hemorrhagic shockendovascular aneurysm repairerythropoetinjehovah’s witnessessurgical critical

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