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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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Differential Diagnosis
Clinical Diagnosis
Dr. Aubrey J. Katz's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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