Multifactorial jaundice and pigmented choledocholithiasis secondary to warm autoimmune hemolytic anemia and alcoholic cirrhosis

Autor:	Colten Watson, Grant Breeland, Mazen Hassan
Rok vydání:	2021
Předmět:	Alcoholic liver disease medicine.medical_specialty Case Studies business.industry Internal medicine Medicine General Medicine Jaundice medicine.symptom Autoimmune hemolytic anemia business medicine.disease Gastroenterology
Zdroj:	Proc (Bayl Univ Med Cent)
ISSN:	1525-3252 0899-8280
DOI:	10.1080/08998280.2021.1995107
Popis:	A 67-year-old man with a history of alcoholic cirrhosis presented with acute abdominal pain. His total bilirubin was 43.8 mg/dL and fractionated to a direct bilirubin of 32.7 mg/dL. A warm agglutinin IgG1 antibody was positive, and abdominal magnetic resonance imaging detected an obstructing stone at the level of the sphincter of Oddi. Two pigmented gallstones were removed by endoscopic retrograde cholangiopancreatography. His total bilirubin decreased to 24.6 mg/dL the following day, and he was initiated on 20 mg of prednisone for his autoantibody.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1995039c40f596fccd8316d6cb2ba956 https://doi.org/10.1080/08998280.2021.1995107 Zobrazit plný text záznamu