A Case of Obstructive Jaundice
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چکیده
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-glutamyl transferase 1143 U/L) with elevated liver enzymes (aspartate aminotransferase 231 U/L, alanine aminotransferase 178 U/L). Abdominal ultrasound demonstrated a scleroatrophic gallbladder with cholelithiasis and an impacted large gallstone in the common bile duct with dilated common and intrahepatic bile ducts.
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