Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome.
10.4082/kjfm.2016.37.1.71
- Author:
Kyoung Min MOON
1
;
Min Soo HAN
;
Ch'ang Bum RIM
;
So Ri KIM
;
Sang Ho SHIN
;
Min Seok KANG
;
Jun Ho LEE
;
Jihye KIM
;
Sang Il KIM
Author Information
1. Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. hms43@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Acute Lung Injury;
HELLP Syndrome;
Blood Transfusion;
Cesarean Section
- MeSH:
Abdominal Pain;
Acute Lung Injury*;
Adolescent;
Anoxia;
Blood Platelets;
Blood Transfusion;
Cesarean Section*;
Dyspnea;
Echocardiography;
Emergencies;
Female;
HELLP Syndrome*;
Humans;
Liver;
Pregnancy;
Pulmonary Edema
- From:Korean Journal of Family Medicine
2016;37(1):71-74
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transfusion-related acute lung injury (TRALI) is a serious adverse reaction of transfusion, and presents as hypoxemia and non-cardiogenic pulmonary edema within 6 hours of transfusion. A 14-year-old primigravida woman at 34 weeks of gestation presented with upper abdominal pain without dyspnea. Because she showed the syndrome of HELLP (hemolysis, elevated liver enzymes, and low platelet count), an emergency cesarean section delivery was performed, and blood was transfused. In the case of such patients, clinicians should closely observe the patient's condition at least during the 6 hours while the patient receives blood transfusion, and should suspect TRALI if the patient complains of respiratory symptoms such as dyspnea. Furthermore, echocardiography should be performed to distinguish between the different types of transfusion-related adverse reactions.
