Short Article - Gynecology and Reproductive Endocrinology (2020) Volume 4, Issue 7
Acute transfusion-related lung injury (TRALI) in pregnancy. Case report and bibliographic review
BACKGROUD. Transfusion-related acute lung injury (TRALI) is a syndrome of respiratory distress caused by blood transfusion. The Food and Drug Administration
(FDA) places TRALI as the main cause of death associated with transfusion.
OBJECTIVE. The present clinical case is reported, treated in a Third Level Hospital and a search was carried out to update the topic on the management of TRALI
in a pregnant patient.
CLINICAL CASE. A 35-year-old woman with a pregnancy of 33.2 weeks of gestation, placental accreta, with a threat of preterm delivery and severe anemia
that required hemotransfusion of erythrocyte concentrate, subsequently with a respiratory distress syndrome clinic. TRALI was diagnosed, it was managed in
intensive therapy with diuretic and inotropic, it evolved clinically to the improvement, until its total improvement, Placental accreta was corroborated, cystoscopy
was performed without data on bladder invasion. Subsequently, he presented uterine activity and premature rupture of membranes, caesarean section and obstetric
hysterectomy were performed. The patient evolved satisfactorily and left without incident.
CONCLUSIONS There are very few documented reports of TRALI in the period prior to delivery. Pregnant women are disadvantaged by the physiological changes
of pregnancy such as decreased residual volume and respiratory reserve capacity, decreased capillary colidosidotic pressure. Therefore, the diagnosis of TRALI is
important to manage timely management. The management of respiratory failure in TRALI must be done multidisciplinary way.
KEY WORDS: TRALI, Acute lung injury, transfusion, pregnancy, transfusion adverse reactions.Author(s): EL Dr. Alexander de Jesus Rafaelano Miranda