Perforation of the Colon after Exchange Transfusion in the Newborn

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Abstract
RECENTLY, attention has been called to perforation of the intestine after exchange transfusion.1 2 3 We report what we believe is the first case of this complication in the American literature that was diagnosed correctly before operation and successfully treated surgically.Case ReportA 2880-gm female infant was born at 36 weeks' gestation on February 6, 1969, to a 35-year-old gravida 7, para 5, blood Type A, Rh-negative mother. The umbilical-cord blood was A positive and Coombs positive, with a bilirubin of 2.8 mg total and 0.6 mg direct per 100 ml. The bilirubin rose to 16.2 mg total and 1.6 mg . . .