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Intrahepatic cholestasis associated with an enlarged gall‐bladder
Author(s) -
Lok Anna S.F.,
Lai ChingLung,
Wong KeeLam,
Lam WahKit
Publication year - 1986
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1986.tb113740.x
Subject(s) - cholestasis , medicine , jaundice , abdominal ultrasonography , ultrasonography , gall , infiltration (hvac) , gastroenterology , cholestatic hepatitis , hepatitis , radiology , botany , physics , biology , thermodynamics
A 60‐year‐old man with a history of ingesting herbal medication and a 59‐year‐old woman with malignant lymphoma presented with painless jaundice and palpably enlarged gallbladders. Abdominal ultrasonography confirmed that the gall‐bladders were enlarged, but showed normal‐sized biliary trees with no stones. The final diagnoses for these patients were drug‐induced hepatitis with intrahepatic cholestasis and lymphomatous infiltration of the liver, respectively. A palpable gall bladder in cholestatic jaundice may not always be caused by extrahepatic biliary obstruction, and ultrasonography is very useful in ruling this out.