Life-threatening iron deficiency anemia and profound lactic acidosis due to uterine fibroid bleeding

[...]the analyses of all 3 initial blood specimens before treatment were in accord second, hemodilution as a possible confounding factor was ruled out; and third, transfusion of 6 U of packed red blood cells resulted to the expected hemoglobin level increase (7.9 g/dL). [...]our case suggests that e...

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Bibliographic Details
Published in:The American journal of emergency medicine 2009-03, Vol.27 (3), p.377.e7-377.e9
Main Authors: Ntalianis, Argyrios, MD, Mandrekas, Kostantinos, MD, Papamichael, Christos, MD, Anastasiou-Nana, Maria I., MD
Format: Article
Language:English
Subjects:
Acidosis - diagnosis
Acidosis - etiology
Acids
Adult
Anemia
Anemia, Iron-Deficiency - diagnosis
Anemia, Iron-Deficiency - etiology
Blood
Bone marrow
Cardiac arrhythmia
Emergency
Emergency medical care
Female
Humans
Hysterectomy
Iron
Leiomyoma - complications
Leiomyoma - diagnosis
Leiomyoma - surgery
Nutrient deficiency
Uterine Hemorrhage - complications
Uterine Hemorrhage - diagnosis
Uterine Hemorrhage - surgery
Uterine Neoplasms - complications
Uterine Neoplasms - diagnosis
Uterine Neoplasms - surgery
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Summary:[...]the analyses of all 3 initial blood specimens before treatment were in accord second, hemodilution as a possible confounding factor was ruled out; and third, transfusion of 6 U of packed red blood cells resulted to the expected hemoglobin level increase (7.9 g/dL). [...]our case suggests that even life-threatening chronic anemia resulting to lactic acidemia may not have lethal consequences in selected cases because of a satisfactory adaptation to profound dysoxia.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2008.08.014