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PERITONEAL IRRIGATION FOR UREMIA FOLLOWING INCOMPATIBLE BLOOD TRANSFUSION: Report of a Case

PERITONEAL IRRIGATION FOR UREMIA FOLLOWING INCOMPATIBLE BLOOD TRANSFUSION: Report of a Case Abstract PERITONEAL irrigation as a means of treating a patient with uremia resulting from acute renal damage following sulfathiazole therapy has been reported by Frank, Seligman and Fine.1 These same workers had previously observed the results of this technic on animals.2 Recently we utilized this method of peritoneal irrigation on a patient with uremia resulting from an incompatible blood transfusion. The procedure was effective and directly associated with improvement and subsequent recovery of the patient. The patient was not expected to survive, since grave sequelae of uremia existed. Moreover, certain complications related to the peritoneal irrigation were encountered. A report of the case therefore seems warranted. REPORT OF A CASE A white woman aged 36 years entered the hospital for a pelvic operation. A transfusion of whole blood was ordered prior to operation as a corrective measure for a moderate degree of anemia (red blood cell count 3,600,000 per References 1. Frank, H. A.; Seligman, A. M., and Fine, J.: Treatment of Uremia , J. A. M. A. 130:703 ( (March 16) ) 1946.Crossref 2. Seligman, A. M.; Frank, H. A., and Fine, J.: Treatment of Experimental Urea by Means of Peritoneal Irrigation , J. Clin. Investigation 25:211 ( (March) ) 1946.Crossref 3. Best, C. H., and Taylor, N. B.: The Physiological Basis of Medical Practice , ed. 4, Baltimore, Williams & Wilkins Company, 1945, p. 397. 4. Darrow, D. C.: The Retention of Electrolyte During Recovery from Severe Dehydration Due to Diarrhea , J. Pediat. 28:515 ( (May) ) 1946.Crossref 5. Darrow, D. C., and Yannet, H.: The Changes in the Distribution of Body Water Accompanying Increase and Decrease in Extracellular Electrolyte , J. Clin. Investigation 14:266 ( (March) ) 1935.Crossref 6. Fine, J.; Frank, H. A., and Seligman, A. M.: The Treatment of Acute Renal Failure by Peritoneal Irrigation , Ann. Surg. 124:857 ( (Nov.) ) 1946.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

PERITONEAL IRRIGATION FOR UREMIA FOLLOWING INCOMPATIBLE BLOOD TRANSFUSION: Report of a Case

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Publisher
American Medical Association
Copyright
Copyright © 1947 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1947.01230070382002
Publisher site
See Article on Publisher Site

Abstract

Abstract PERITONEAL irrigation as a means of treating a patient with uremia resulting from acute renal damage following sulfathiazole therapy has been reported by Frank, Seligman and Fine.1 These same workers had previously observed the results of this technic on animals.2 Recently we utilized this method of peritoneal irrigation on a patient with uremia resulting from an incompatible blood transfusion. The procedure was effective and directly associated with improvement and subsequent recovery of the patient. The patient was not expected to survive, since grave sequelae of uremia existed. Moreover, certain complications related to the peritoneal irrigation were encountered. A report of the case therefore seems warranted. REPORT OF A CASE A white woman aged 36 years entered the hospital for a pelvic operation. A transfusion of whole blood was ordered prior to operation as a corrective measure for a moderate degree of anemia (red blood cell count 3,600,000 per References 1. Frank, H. A.; Seligman, A. M., and Fine, J.: Treatment of Uremia , J. A. M. A. 130:703 ( (March 16) ) 1946.Crossref 2. Seligman, A. M.; Frank, H. A., and Fine, J.: Treatment of Experimental Urea by Means of Peritoneal Irrigation , J. Clin. Investigation 25:211 ( (March) ) 1946.Crossref 3. Best, C. H., and Taylor, N. B.: The Physiological Basis of Medical Practice , ed. 4, Baltimore, Williams & Wilkins Company, 1945, p. 397. 4. Darrow, D. C.: The Retention of Electrolyte During Recovery from Severe Dehydration Due to Diarrhea , J. Pediat. 28:515 ( (May) ) 1946.Crossref 5. Darrow, D. C., and Yannet, H.: The Changes in the Distribution of Body Water Accompanying Increase and Decrease in Extracellular Electrolyte , J. Clin. Investigation 14:266 ( (March) ) 1935.Crossref 6. Fine, J.; Frank, H. A., and Seligman, A. M.: The Treatment of Acute Renal Failure by Peritoneal Irrigation , Ann. Surg. 124:857 ( (Nov.) ) 1946.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1947

References