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Previous Volume 354:398-406 January 26, 2006 Number 4 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.

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Presentation of Case

A 63-year-old woman was admitted to the hospital for evaluation of a pancreatic mass.

Four months before admission, the patient noticed dysuria and dark urine. The results of urinalysis showed 3+ bilirubin and 2+ occult blood and were otherwise normal. A urinary tract infection was diagnosed, and levofloxacin was prescribed. A urine culture subsequently showed no growth of bacteria. Five days after the urinalysis, she went to a local hospital emergency department, where she said that she had had dark urine, pruritus, and intermittent epigastric pain for the preceding 10 days; a weight loss of 5 kg during the past . . . [Full Text of this Article]

Differential Diagnosis

Neoplastic Causes of Bile-Duct Obstruction

Non-Neoplastic Causes of Biliary Obstruction

Clinical Diagnosis

Dr. Robert H. Schapiro's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Gastrointestinal Unit (R.H.S.) and the Departments of Radiology(M.M.M.) and Pathology (J.M.), Massachusetts General Hospital; and the Departments of Medicine (R.H.S.), Radiology (M.M.M.) and Pathology (J.M.), Harvard Medical School.

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