Severely high serum unbound bilirubin level after abdominal surgery in a newborn.

Pediatr Int 2013 Jun;55(3):e59-62

Department of Pediatrics, Kobe University Hospital, Kobe, Japan.

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.

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http://dx.doi.org/10.1111/ped.12018DOI Listing
June 2013
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