Severely high serum unbound bilirubin level after abdominal surgery in a newborn
Corresponding Author
Ichiro Morioka
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Correspondence: Ichiro Morioka, MD PhD, Department of Pediatrics, Kobe University Hospital, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan. E-mail: [email protected]Search for more papers by this authorAkihiro Miwa
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorTomoyuki Yokota
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorChuong Thieu Do Huu
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorMiwako Nagasaka
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorTsubasa Koda
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorKiyomi Matsuo
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorSatoru Morikawa
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Department of Community Medicine and Social Healthcare Science, Kobe University Graduate School of Medicine, Kobe, Japan
Search for more papers by this authorAkio Shibata
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorChieko Hisamatsu
Division of Pediatric Surgery, Department of Surgery, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorHisahide Nishio
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Department of Community Medicine and Social Healthcare Science, Kobe University Graduate School of Medicine, Kobe, Japan
Search for more papers by this authorHideto Yamada
Department of Obstetrics and Gynecology, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorEiji Nishijima
Division of Pediatric Surgery, Department of Surgery, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorKazumoto Iijima
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorCorresponding Author
Ichiro Morioka
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Correspondence: Ichiro Morioka, MD PhD, Department of Pediatrics, Kobe University Hospital, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan. E-mail: [email protected]Search for more papers by this authorAkihiro Miwa
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorTomoyuki Yokota
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorChuong Thieu Do Huu
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorMiwako Nagasaka
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorTsubasa Koda
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorKiyomi Matsuo
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorSatoru Morikawa
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Department of Community Medicine and Social Healthcare Science, Kobe University Graduate School of Medicine, Kobe, Japan
Search for more papers by this authorAkio Shibata
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorChieko Hisamatsu
Division of Pediatric Surgery, Department of Surgery, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorHisahide Nishio
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Department of Community Medicine and Social Healthcare Science, Kobe University Graduate School of Medicine, Kobe, Japan
Search for more papers by this authorHideto Yamada
Department of Obstetrics and Gynecology, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorEiji Nishijima
Division of Pediatric Surgery, Department of Surgery, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorKazumoto Iijima
Department of Pediatrics, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorAbstract
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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