Volume 31 Number 2 (2022)
Post-Operative Severe Hyperbilirubinemia: A Case Report
Chowdhury MM1 , Ullah AA2 , Mohammed S3 , Warid MM4 , Rahman MM5 , Mahmud R6 , Ahsan SM7 , Quiyum MA8 , Siddiqui O9 , Sobhan SA10
Mymensingh Med J 2022 April; 31 (2): 556-561
PMID: 35383780
Abstract
Hyperbilirubinemia is commonly seen in medical practice. But what could be the highest level of bilirubin in an individual that is still an unanswered question. We came across to a 37 years old lady in October 2018 with hepaticolithiasis who underwent extended choledocholithotomy. Her preoperative serum bilirubin was within normal range. Post-operatively she developed cholangitis and from 3rd post-operative day onwards she developed severe hyperbilirubinemia, which was high as 70.47 mg/dl on the 6th post-operative day. Other causes of post-operative hyperbilirubinemia were excluded. She was managed conservatively for this hyperbilirubinemia and bilirubin level gradually reduced.
Keywords: Hyperbilirubinemia, Post-operative hyperbilirubinemia, Highest level of serum bilirubin
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