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Sideropenic anaemia occurring in a patient with severe post-traumatic haemorrhage treatment
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Abstract
The patient was in critical condition at the site of the incident with hypovolemic shock due to massive haemorrhage and wide nonreactive pupils.
He was immediately operated on after arrival to the hospital, median sternotomy extending to the right supraclavicular area was performed and the right venous brachiocephalic trunk was repaired, 8000 ml of blood and 10 units of FFP were transfused, and 4000 ml of crystalloids and 1500 ml of colloids were infused.
After the operation, the patient had continuous diarrhoea (a dozen haematic and mucous stools daily), and sideropenic anaemia evolved due to iron malabsorption caused by intestinal mucosal ischaemia. Treatment required a few months parenteral iron supplementation. After diarrhoea regression and the patient's recovery, enteral iron supplementation was maintained, keeping the iron serum level within reference range.
Abstract
The patient was in critical condition at the site of the incident with hypovolemic shock due to massive haemorrhage and wide nonreactive pupils.
He was immediately operated on after arrival to the hospital, median sternotomy extending to the right supraclavicular area was performed and the right venous brachiocephalic trunk was repaired, 8000 ml of blood and 10 units of FFP were transfused, and 4000 ml of crystalloids and 1500 ml of colloids were infused.
After the operation, the patient had continuous diarrhoea (a dozen haematic and mucous stools daily), and sideropenic anaemia evolved due to iron malabsorption caused by intestinal mucosal ischaemia. Treatment required a few months parenteral iron supplementation. After diarrhoea regression and the patient's recovery, enteral iron supplementation was maintained, keeping the iron serum level within reference range.
Keywords
change of the right brachiocephalic vein; massive haemorrhage; sideropenic anaemia
About this articleTitle
Sideropenic anaemia occurring in a patient with severe post-traumatic haemorrhage treatment
Journal
Issue
Article type
Case report
Pages
84-90
Published online
2009-05-11
Page views
762
Article views/downloads
1927
Bibliographic record
Acta Angiologica 2009;15(2):84-90.
Keywords
change of the right brachiocephalic vein
massive haemorrhage
sideropenic anaemia
Authors
Mieczysław Szostek
Henryk Komoń
Małgorzata Szostek
Małgorzata Rutkowska