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Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient
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 su...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999578/ https://www.ncbi.nlm.nih.gov/pubmed/24803901 http://dx.doi.org/10.1159/000360813 |
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author | Narita, Takuya Hamano, Itsuto Kusaka, Ayumu Murasawa, Hiromi Tokui, Noriko Imanishi, Kengo Okamoto, Teppei Yamamoto, Hayato Imai, Atsushi Hatakeyama, Shingo Yoneyama, Takahiro Hashimoto, Yasuhiro Koie, Takuya Ohyama, Chikara Hakamada, Kenichi |
author_facet | Narita, Takuya Hamano, Itsuto Kusaka, Ayumu Murasawa, Hiromi Tokui, Noriko Imanishi, Kengo Okamoto, Teppei Yamamoto, Hayato Imai, Atsushi Hatakeyama, Shingo Yoneyama, Takahiro Hashimoto, Yasuhiro Koie, Takuya Ohyama, Chikara Hakamada, Kenichi |
author_sort | Narita, Takuya |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3999578 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-39995782014-05-06 Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient Narita, Takuya Hamano, Itsuto Kusaka, Ayumu Murasawa, Hiromi Tokui, Noriko Imanishi, Kengo Okamoto, Teppei Yamamoto, Hayato Imai, Atsushi Hatakeyama, Shingo Yoneyama, Takahiro Hashimoto, Yasuhiro Koie, Takuya Ohyama, Chikara Hakamada, Kenichi Case Rep Oncol Published online: March, 2014 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. S. Karger AG 2014-03-27 /pmc/articles/PMC3999578/ /pubmed/24803901 http://dx.doi.org/10.1159/000360813 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published online: March, 2014 Narita, Takuya Hamano, Itsuto Kusaka, Ayumu Murasawa, Hiromi Tokui, Noriko Imanishi, Kengo Okamoto, Teppei Yamamoto, Hayato Imai, Atsushi Hatakeyama, Shingo Yoneyama, Takahiro Hashimoto, Yasuhiro Koie, Takuya Ohyama, Chikara Hakamada, Kenichi Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient |
title | Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient |
title_full | Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient |
title_fullStr | Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient |
title_full_unstemmed | Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient |
title_short | Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah's Witness Patient |
title_sort | surgery without blood transfusion for giant paraganglioma in a jehovah's witness patient |
topic | Published online: March, 2014 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999578/ https://www.ncbi.nlm.nih.gov/pubmed/24803901 http://dx.doi.org/10.1159/000360813 |
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