Unusual case of obstructive jaundice

An unusual cause of obstructive jaundice.

An 80-year-old Caucasian woman presented with a 3-week history of painless jaundice, pruritis, dark urine and weight loss. Blood analysis demonstrated an obstructive jaundice pattern. A CT scan demonstrated a gas-filled duodenal diverticulum arising from the second part of the duodenum. Once food material was cleared from the diverticulum endoscopically, there was clinical and biochemical impro...

A Case of Obstructive Jaundice

n 84-year-old woman presented with a 2-day history f jaundice, fever and abdominal pain. Physical examiation showed scleral icterus and right upper quadrant enderness without inspiratory arrest at palpation (absent urphy’s sign). Laboratory workup revealed leukocytosis 12.4 × 103 L), elevated C-reactive protein (8.3 mg/dL) nd cholestasis (bilirubin 5.4 mg/dL, alkaline phosphatase 893 U/L, gamma...

Obstructive Jaundice

Obstructive Jaundice

Introduction Neonatal cholestasis is defined as prolonged elevation of serum levels of conjugated bilirubin beyond the first 14 days of life. Neonatal hyperbilirubinaemia is usually physiologic, unconjugated, and self-limited. Only 2–15% of neonates remain jaundiced past 2 weeks of life, and just 0.2–0.4% have cholestatic jaundice from either intrahepatic cholestasis or structural abnormalities...

Effects of obstructive jaundice

Obstructive jaundice is a common surgical problem that occurs when there is blockage of the passage of conjugated bilirubin from liver to intestine. In most benign biliary diseases, jaundice is intermittent and incomplete. Only a few diseases (e.g. primary sclerosing cholangitis) result in persistent obstructive jaundice, or even in biliary cirrhosis and portal hypertension, and most cases are ...