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...

Causes of mechanical jaundice are extremely varied and can be either malignant or benign. The main causes nature cholangiocarcinoma pancreatic ductal adenocarcinoma, while common benign obstructive choledocholithiasis chronic pancreatitis. Rarer this severe complication not extensively described in literature.

Hepatic fascioliasis is a parasitic disease caused by the fluke Fasciola hepatica. In chronic phase of disease, adult form parasite adopts bile ducts as ideal environment to develop, causing them dilate and simulating an obstructive jaundice process. The case 48-year-old woman presented, who was admitted for jaundice, choluria eight loss. After corresponding complementary studies had been carri...