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A cause of cholestatic jaundice
  1. P G Wheeler1,
  2. A Atrey2,
  3. A Healey2,
  4. K M Taylor3,
  5. L R Jiao4
  1. 1William Harvey Hospital, Ashford, Kent, UK
  2. 2HPB surgery, Hammersmith Hospital, Division of SORA, Imperial College, London, UK
  3. 3William Harvey Hospital, Ashford, Kent, UK
  4. 4HPB surgery, Hammersmith Hospital, Division of SORA, Imperial College, London, UK
  1. Correspondence to:
    MrLong Rjiao
    Senior Lecturer, Consultant Surgeon, HPB Surgery, Hammersmith Hospital, Division of SORA, Imperial College, Du Cane Rd, London W120NN, UK; l.jiao{at}imperial.ac.uk

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Case

A 44-year-old Romanian woman with a history of asthma, epilepsy, non-insulin dependent diabetes mellitus, and depression presented with a gradual weight loss over 1 year, pruritis over 3 months, and a history of dark urine and pale stools for several weeks. She denied any abdominal pain.

Clinical examination revealed a soft, non-tender abdomen with no organomegaly. The patient was not clinically …

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