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  • Title: Advanced hyperbilirubinemia simulating obstructive jaundice after choledocholithotomy. Report of a case.
    Author: Bergqvist D, Hallböök T.
    Journal: Acta Chir Scand; 1977; 143(4):245-8. PubMed ID: 906759.
    Abstract:
    A case of intrahepatic cholestatic jaundice of unclear etiology and unusual course is described. A male patient underwent choledocholithotomy after PTC, showing a normal immediate postoperative recovery, but after a few days developed a severe cholestatic jaundice despite normal postoperative cholangiograms. The liver function tests showed a biphasic picture. Bilirubin was maximally 770 mumol/l and a lower level was obtained after blood exchange and subphrenic abscess drainage. It was, however, not until prednisolone treatment was induced that a slow continuous decrease of bilirubin was seen.
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