CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care
DOI: 10.1055/s-0042-1744402
Case Report

Management of a Patient with Bombay Blood Group and Chronic Liver Disease with Subdural Hematoma

1   Institute of Neurosciences, AIG Hospitals, Gachibowli, Hyderabad, Telangana, India
,
Subodh Raju
1   Institute of Neurosciences, AIG Hospitals, Gachibowli, Hyderabad, Telangana, India
,
Suresh Kanasani
1   Institute of Neurosciences, AIG Hospitals, Gachibowli, Hyderabad, Telangana, India
,
Abhirama C. Gabbita
1   Institute of Neurosciences, AIG Hospitals, Gachibowli, Hyderabad, Telangana, India
› Institutsangaben

Abstract

The Bombay blood group is an extremely rare entity within the conventional ABO blood grouping system. End-stage liver disease also presents with myriad disorders of coagulation due to impaired synthesis and dysfunction of clotting factors, which predisposes patients to spontaneous and life-threatening episodes of bleeding. We report a patient with Bombay blood group and end-stage liver disease who presented to our hospital with a spontaneous subdural hematoma. Although conventional parameters of coagulation in this patient were abnormal, we were able to safely defer product transfusion because his thromboelastography (TEG) report was within acceptable ranges. In this article, we discuss our strategy for optimization of extremely limited blood resources in this scenario and perioperative strategies for the management of coagulation anomalies in patients with liver dysfunction.



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Artikel online veröffentlicht:
07. Juni 2022

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