transfusion-related acute lung injury in multiple traumatized patients

background: many of the multiple traumatized patients who refer to the hospital need transfusion. transfusion-related acute lung injury (trali) is a serious clinical syndrome associated with the transfusion of plasma-containing blood components. in the article, we present a case of trali following transfusion of packed red blood cells case presentation: a 24 year old male referred to shahid beheshti hospital due to multiple trauma with left femoral and humerus fractures. due to severe anemia he received 3 units of packed red blood cells. the symptoms of trali began 2 hours after transfusion. he was transferred to intensive care unit (icu) due to metabolic acidosis and severe hypoxia. the trali was confirmed after ruling out the other probable pulmonary diseases. he recovered and was discharged.conclusion: transfusion related acute lung injury should be considered in any case receiving transfusion of plasma containing blood components.