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Revista médica del Hospital General de México
On-line version ISSN 2524-177XPrint version ISSN 0185-1063
Abstract
SIERRA-JUAREZ, Miguel A.; SANCHEZ-TAMARIZ, Misael and CASTANEDA-MORALES, Artemisa. Pseudoaneurysm with risk of imminent rupture in Jehovah’s Witness patient. Rev. med. Hosp. Gen. Méx. [online]. 2022, vol.85, n.3, pp.135-140. Epub Oct 07, 2022. ISSN 2524-177X. https://doi.org/10.24875/hgmx.21000077.
Emergency surgery for vascular trauma is associated with a high risk of bleeding, which often requires blood transfusions. We present the case of a patient with gunshot injury with pseudoaneurysms of the giant femoral artery with skin dissection and abundant bleeding that required emergency surgery with vascular repair and discharge of the patient without complications. The Jehovah’s Witness (JW) patient signed a refusal of blood transfusion in his informed consent. The need for blood transfusion was always present, some legal aspects are reviewed that can help the doctor to protect his therapeutic freedom.
Keywords : Pseudoaneurysm; Blood transfusion; Jehovah’s Witness.