A case of nephrectomy performed for apostematous pyelonephritis in a patient who refused blood transfusion
DOI: 10.22591/magyurol.2023.1.fazekasf.39
Authors:
Fazekas Fruzsina dr.1, Márványkövi Fanni Magdolna dr.1, Lajos Márton2, Buzogány István dr.1, Beöthe Tamás dr.1
1Dél-pesti Centrumkórház, Péterfy Sándor Kórház-Rendelőintézet és Manninger Jenő Országos Traumatológiai Központ, Urológiai Osztály, Budapest (osztályvezető: Buzogány István dr.)
2Debreceni Egyetem, Általános Orvostudományi Kar, Debrecen (dékán: Mátyus László dr.)
Summary
Introduction: Patients who refuse blood transfusion are regularly operated on at the Péterfy Sandor Hospital, Budapest. The authors present their experience in this regard through a case study.
Case report: The authors report on surgery of a patient belonging to the Jehovah’s Witnesess community refusing blood transfusion and was admitted for apostematous pyelonephritis. The operation was performed after a two-month postponement because these compelling circumstances. During this time, the patient was monitored closely, received conservative hematopoietic and antibiotic therapy, as a result of which his general condition and laboratory values and improved. Following nephrectomy, he made a full recovery. The current legislation (1997. Act CLIV. on Health Care) defines the possibility and formal requirements for refusing care. Blood-sparing patient care can be used in all patients for optimal survival.