A 79-year-old woman was admitted because of painless jaundice, choluria, acholia, and generalized pruritus for the previous week. On physical examination, an epigastric mass was identified. Abdominal US showed dilation… Click to show full abstract
A 79-year-old woman was admitted because of painless jaundice, choluria, acholia, and generalized pruritus for the previous week. On physical examination, an epigastric mass was identified. Abdominal US showed dilation of the common bile duct (CBD) and intrahepatic biliary tree, with an apparent stricture of the middle third of the CBD. Laboratory findings included microcytic anemia (hemoglobin 6.5 g/dL), normal inflammatory markers,
               
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