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Case of AIDS‐related cholangitis treated by endoscopic sphincterotomy
Author(s) -
Shibata Naozumi,
Matsui Hidetaka,
Takeshita Eiji,
Yokota Tomoyuki,
Kobayashi Yuichi,
Ikeda Yoshiou,
Yakushijin Yoshihiro,
Hato Takaaki,
Matsuura Bunzo,
Horiike Norio,
Onji Morikazu
Publication year - 2004
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2004.00344.x
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , jaundice , gastroenterology , cholestasis , common bile duct , aspartate transaminase , abdominal pain , alanine transaminase , abdominal ultrasonography , gallstones , liver function tests , liver function , alkaline phosphatase , radiology , pancreatitis , computed tomography , biochemistry , chemistry , enzyme
A 21‐year‐old man with an 8‐year history of acquired immunodeciency syndrome (AIDS) presented with abdominal pain, jaundice and dark urine. Laboratory data on admission revealed cholestasis. The total bilirubin concentration was 10.0 mg/dL. Alanine transaminase and aspartate transaminase were 198 IU/L and 195 IU/L, respectively. The serum alkaline phosphatase level was 2724 IU/L. γ‐Glutamyl transferase was 1770 IU/L. Abdominal ultrasonography and computed tomography revealed dilation of the common bile duct and intrahepatic ducts without gallstones. Endoscopic retrograde cholangiopancreatography showed dilation of the common bile duct up to the level of the ampulla of Vater with partial stenosis. Endoscopic sphincterotomy was performed. The abdominal pain and jaundice resolved immediately and the liver function tests were signicantly improved. The patient developed a subarachnoid hemorrhage and died of respiratory arrest 2 months after the endoscopic sphincterotomy.