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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:1893-1900 June 22, 2000 Number 25
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Case 19-2000— A 17-Year-Old Boy with Obstructive Jaundice
Aubrey J. Katz, and Fiona M. Graeme-Cook

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Presentation of Case

A 17-year-old boy was admitted to the hospital because of obstructive jaundice and weight loss.

The patient had been well until two months earlier, when he consulted a physician because of pruritus. Topical antibiotic preparations were prescribed for excoriations, without improvement. Laboratory studies were performed a week later and were repeated after seven days (Table 1). An abdominal ultrasonographic examination showed distention of the gallbladder and common bile duct, with two large cysts in the left upper quadrant. Three days before admission, the patient came to this hospital.

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Table 1. Blood Chemical Values and Results of Serologic Tests.

 
The patient . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Aubrey J. Katz's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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