title: Major Surgery in A Jehovah Witness with Sickle Cell Disease: Case Presentation.
abstract: BACKGROUND
  A Jehovah's Witness belongs to the religious group that does not accept blood transfusion in any form, while a sickle cell disease patient has abnormal haemoglobins that do not last in circulation predisposing one to anaemia and other systemic complications. Performing a major surgery in a Jehovah's Witness who has sickle cell disease is tasking for a surgeon.
  
  
  METHODS
  This case reports a 28-year-old African female with sickle cell disease who outrightly refused any form of blood transfusion as being a Jehovah's Witness and having a complex primary hip that required total hip replacement. This work highlighted the complexity and difficulty encountered by virtue of the fact that patient had orthopaedic complications of Sickle Cell Disease and measures taken to prevent sickling crisis.
  
  
  CONCLUSIONS
  It is possible to carry out major surgery in a sickler who has durable power of attorney not to receive blood, but optimum preparation, meticulous and fast surgery and adequate monitoring must be instituted to avert morbidity and mortality seen in this group of patients.
authors.affiliation: Department of Orthopaedic, National Orthopaedic Hospital Enugu.
authors.forename: Udo Ego
authors.initials: UE
authors.lastname: Anyaehie
authors.affiliation: Department of Orthopaedic, National Orthopaedic Hospital Enugu.
authors.forename: Cajetan Uwatoronye
authors.initials: CU
authors.lastname: Nwadinigwe
authors.affiliation: Department of Anaesthesia, National Orthopaedic Hospital Enugu.
authors.forename: Arinze Duke
authors.initials: AD
authors.lastname: Nwosu
authors.affiliation: Department of Orthopaedic, National Orthopaedic Hospital Enugu.
authors.forename: Valentine Ogochukwu
authors.initials: VO
authors.lastname: Ogbui
keywords: Jehovah’s Witness; Sickle cell disease; total hip arthroplasty