Complex Sources of Hyperbilirubinemia

The authors present a case of patient with severe hyperbilirubinemia due to acute hepatitis B infection which resolved without intervention subsequent normalization synthetic and excretory liver function. Despite this, the remained jaundiced unconjugated in context recent diagnosis flare hereditary spherocytosis. Due complex clinical presentation, underwent biopsy additional genetic Gilbert’s Syndrome being established. This illustrates an unusual both Hepatitis spherocytosis potential cause for Gilbert Syndrome.