Intrahepatic Obstructive Jaundice

OBs-mucTivF jaundice is amenable to surgical treatment when the obstruction is extrahepatic. In recent years it has been recognised that the obstruction may be intrahepatic and the complete picture of obstructive jaundice may be seen without obstruction of the main bile ducts. It is important to differentiate between intrahepatic anid extrahepatic cholestasis in order to avoid unnecessary surgical interference. In differential diagnosis liver function tests are valuable. Liver biopsy, which can be conveniently done with a Menghini liver biopsy needle, may be diagnostic. In view of the diagnostic difficultv a report of a case of intrahepatic cholestasis might be of interest. The significance of liver function tests and the multiple atiology of intrahepatic cholestasis are discussed.