A young female with Obstructive Jaundice

A young female aged 28 years Chief Complaints Jaundice (Gradually Progressive) a/w Pruritus (x 1 month) LOA(+) LOW(+) Physical Examination Icterus(++) Pall(+) Investigations MRCP

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Choledochal cyst with dilatation of CBD and tapering lower end Start with parenteral antibiotics to treat associated cholangitis and if possible ERCP and CBD stenting is indicated. Ultimately she have to be prepared for surgery

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NICE ILLUSTRATATION FEW COMMENTS OB JAUNDICE COULD BE DUE TO STONE IN C BILE DUCT PANCRESTITIS HEAMOLYYIC CRISIS HAEMOCHROMOCYTISIS

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Obstructive gall stone in CBD Gall bladder is full and dialated Mrcp is suggestive CBD obstruction Rx stenting 2 cholecystectomy

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Ductal ectrsia with cholefochocyst and lower end tapering

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