FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 345:817-823 September 13, 2001 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Presentation of Case

A 44-year-old woman was admitted to this hospital because of abdominal pain, chills, fever, and jaundice.

The patient, a native of southern China, had been treated for intrahepatic stones by lithotripsy five years before admission to this hospital. Two years after the procedure, she immigrated to the United States. Nineteen months before admission to this hospital, abdominal pain developed, with fever and chills. An abdominal computed tomographic (CT) scan obtained at another hospital revealed marked intrahepatic bile-duct dilatation and multiple intrahepatic calculi. Laboratory tests were performed (Table 1 and Table 2).

View this table: [in this window] [in a new window]   Table 1. Hematologic Laboratory Values.

 

View this table: [in this window] [in a new window]   Table 2. Blood Chemical and Enzyme . . . [Full Text of this Article]

 
Differential Diagnosis

Diagnostic Approach

General Features of Cholangitis

Simple Obstructive Cholangitis

Primary Sclerosing Cholangitis

Caroli's Disease

Recurrent Pyogenic Cholangitis

Clinical Diagnosis

Dr. Raymond T. Chung's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.