A suspected case of Transfusion-related acute lung injury in a 30-year old parturient with gestational ITP: A case report

Kim, Kyung woo; Park, Jang Su; Kim, Jung Won; Choe, Won Joo; Kim, Kyung Tae; Kim, Ji Yeon; Lee, Sang Il; Um, Tae Hyun; Han, Tae Hee

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2011;6(3):275-279.
Published online July 30, 2011.

A suspected case of Transfusion-related acute lung injury in a 30-year old parturient with gestational ITP: A case report

Kyung woo Kim, Jang Su Park, Jung Won Kim, Won Joo Choe, Kyung Tae Kim, Ji Yeon Kim, Sang Il Lee, Tae Hyun Um, Tae Hee Han

¹Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University, Ilsan, Korea. jangpark@paik.ac.kr
²Department of Laboratory Medicine, Ilsan Paik Hospital, Inje University, Ilsan, Korea.
³Department of Laboratory Medicine, Sanggye Paik Hospital, Inje University, Seoul, Korea.

Abstract

Transfusion-related acute lung injury (TRALI) is defined as a new episode of acute lung injury that occurs during or within 6 hours of a completed transfusion, which has been the leading cause of transfusion-related death. We present a suspected case of TRALI in a 30-year-old parturient with gestational ITP scheduled for cesarean section. The parturient developed hypoxemia and pulmonary edema after platelet concentrate transfusion during perioperative period. The parturient completely recovered after an oxygen support for 4 days. It is important to recognize TRALI as soon as possible to minimize perioperative morbidity and mortality.

Key Words: Acute lung injury, Idiopathic thrombocytopenic purpura, Platelet transfusion