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Severely high serum unbound bilirubin level after abdominal surgery in a newborn
Author(s) -
Morioka Ichiro,
Miwa Akihiro,
Yokota Tomoyuki,
Huu Chuong Thieu Do,
Nagasaka Miwako,
Koda Tsubasa,
Matsuo Kiyomi,
Morikawa Satoru,
Shibata Akio,
Hisamatsu Chieko,
Nishio Hisahide,
Yamada Hideto,
Nishijima Eiji,
Iijima Kazumoto
Publication year - 2013
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12018
Subject(s) - medicine , bilirubin , abdominal surgery , albumin , serum bilirubin , exchange transfusion , serum albumin , surgery , gastroenterology
We report a newborn with intestinal malrotation who developed a severely high serum unbound bilirubin level and a low serum albumin level without a marked increase in serum total bilirubin level after abdominal surgery, which required exchange transfusion and albumin supplementation. The serum unbound bilirubin level may be highly relative to the serum total bilirubin level in newborns who have undergone abdominal surgery soon after birth and are hypoalbuminemic after surgery.