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Severe hypercalcemia following neonatal liver transplantation
S M Bartosh1, S M Sprague, Y Nakagawa
1Department of Pediatrics, University of Chicago Pritzker School of Medicine, Chicago, Ill, USA.
Abstract:
A 3-week-old infant with liver failure underwent an orthotopic liver transplant. Following a prolonged second surgical procedure in which he received massive amounts of blood products, his serum calcium was 31.3. mg/dl (7.8 mmol/l). This patient represents a case of severe hypercalcemia secondary to intraoperative calcium infusions given in an effort to overcome infusion-related citrate toxicity in a neonate with hepatic dysfunction.