Painless Jaundice: A Happy Ending

Mulgund, Aditi; Gray, Meagan; Poreddy, Sampath; Smith, Milton T.; Giannella, Ralph A.

doi:10.14309/00000434-201710001-02832

Cited by 1 publication

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“…Levels of bilirubin elevation in obstructive jaundice correlate with underlying pathology, and significant elevation (>188 µmol/L) may predict malignancy. 4 Multiple imaging modalities available to diagnose CBD stone include abdominal ultrasound, ERCP, magnetic resonance cholangiopancreatography (MRCP), endoscopic ultrasound (EUS), and intraoperative cholangiography. Abdominal ultrasound has the advantage of immediate availability, non invasive and cost effective, however it is certainly not the most sensitive imaging modality for detecting bile duct stones with sensitivity ranging 13%-89%.…”

Section: Resultsmentioning

confidence: 99%

Extreme hyperbilirubinaemia associated with choledocholithiasis without ascending cholangitis

et al. 2021

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Introduction: Charcot’s triad was traditionally used to diagnose ascending cholangitis. However it is already proven that only minority of patients with ascending cholangitis who fulfill the triad of fever, jaundice and right hypochondriac pain. Aim: We would like to highlight the rarity of severe hyperbilirubinaemia secondary to benign cause as most of the incidence raised more suspicion for primary liver disease or malignancy. Case study: We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis. Results and discussion: We presented a case report of a 58-year-old male patient with no comorbid who presented to us with right hypochondriac pain and obstructive jaundice with severe hyperbilirubinaemia (total bilirubin 1025 µmol/L), without fever or leukocytosis. Conclusions: Benign conditions such as common bile duct stones still can lead to severe hyperbilirubinaemia even though it is very rare. The usage of appropriate imaging is needed to exclude malignant causes.

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Section: Resultsmentioning

confidence: 99%