Painless Jaundice, Pruritus

A Woman with Recent Jaundice and Pruritus

A middle-aged woman suffering from jaundice and pruritus that had begun a month previously was presented to a physician.At the first assessment, laboratory findings had revealed a cholestatic pattern and serologic tests for hepatitis B virus (HBV), hepatitis C virus (HCV) and hepatitis A virus (HAV) were negative. Normal findings of abdominal computed tomography (CT) scan and endoscopic retrogr...

Painless Jaundice Caused by Clonorchis sinensis Infection: A Case Report

A man with only yellowing of the skin and eye sclera was diagnosed with clonorchiasis, which rarely manifested jaundice as the initial symptom. However, because of a lack of evidence for a diagnostic gold standard, the time until definitive diagnosis was more than a week. The diagnostic process relied on inquiring about the patient's history, including the place of residence, dietary habits, an...

a woman with recent jaundice and pruritus

Extramedullary duodenal plasmacytoma presenting with gastric outlet obstruction and painless jaundice.

Malignant plasma cells in multiple myeloma are predominantly confined to the medullary space of the skeletal system, therefore the disease course will be dominated by signs and symptoms related to bone marrow infiltration and destructive bone lesions with their consequences as well as abnormal protein production. Visceral extramedullary plasmacytoma involving the gastrointestinal system and par...

Painless Jaundice Caused by Metastatic Renal Cell Carcinoma to the Distal Common Bile Duct

A 69-year-old man was admitted for painless jaundice and a 2-week history of pruritus, dark urine, and acholic stools. Computed tomography (CT) showed a left renal mass with multiple lesions to the chest and reteroperitoneum suspicious for metastatic disease. There was intraand extrahepatic biliary dilation with gallbladder distention secondary to common bile duct (CBD) calculus. Physical exami...