title: Severely high serum unbound bilirubin level after abdominal surgery in a newborn.
abstract: 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.
authors.affiliation: Department of Pediatrics, Kobe University Hospital, Kobe, Japan. ichim@med.kobe-u.ac.jp
authors.forename: Ichiro
authors.initials: I
authors.lastname: Morioka
authors.forename: Akihiro
authors.initials: A
authors.lastname: Miwa
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Yokota
authors.forename: Chuong Thieu Do
authors.initials: CT
authors.lastname: Huu
authors.forename: Miwako
authors.initials: M
authors.lastname: Nagasaka
authors.forename: Tsubasa
authors.initials: T
authors.lastname: Koda
authors.forename: Kiyomi
authors.initials: K
authors.lastname: Matsuo
authors.forename: Satoru
authors.initials: S
authors.lastname: Morikawa
authors.forename: Akio
authors.initials: A
authors.lastname: Shibata
authors.forename: Chieko
authors.initials: C
authors.lastname: Hisamatsu
authors.forename: Hisahide
authors.initials: H
authors.lastname: Nishio
authors.forename: Hideto
authors.initials: H
authors.lastname: Yamada
authors.forename: Eiji
authors.initials: E
authors.lastname: Nishijima
authors.forename: Kazumoto
authors.initials: K
authors.lastname: Iijima
mesh_terms: D001663:Bilirubin / Q000097:blood*; D004065:Digestive System Abnormalities; D005500:Follow-Up Studies; D006801:Humans; D006932:Hyperbilirubinemia / Q000097:blood* / Q000175:diagnosis; D034141:Hypoalbuminemia / Q000097:blood* / Q000175:diagnosis; D045823:Ileus / Q000601:surgery; D033162:Incidental Findings; D007223:Infant; D007231:Infant, Newborn; D045822:Intestinal Volvulus / Q000151:congenital* / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000097:blood* / Q000175:diagnosis; D012008:Recurrence; D012086:Reoperation; D012709:Serum Albumin / Q000378:metabolism
chemical_list: D012709:Serum Albumin; D001663:Bilirubin