ABSTRACT

TRALI is an underdiagnosed serious complication of blood transfusion characterized by the rapid onset of respiratory distress, hypoxia, and non-cardiogenic pulmonary edema during or soon after blood transfusion. We report a case of TRALI caused by transfusion of whole blood. The 24-year-old patient had postpartum hemorrhage 23 hours after vaginal delivery. The patient received 2 units of whole blood. She developed acute respi-ratory distress syndrome immediately after the transfusion. Resolution of symptoms occurred in 5 days with appropriate ventilatory support and fluid management