This 50 year-old male with anuric chronic renal failure presented upper gastrointestinal bleeding manifested with hematemesis and melena his hemoglobin was 6.6 Gr / dl. Patients with anuric chronic renal failure represent a serious problem in their management by the condition that no urine which limits the number blood transfusions at most one, unless have the hemodialysis unit at his side and the risk of medical complications is great.
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