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It may be suspected in a patient with obstructive jaundice.
The majority of patients presented with painless obstructive jaundice (Table I).
Obstructive jaundice may also cause intense itching.
Mirizzi syndrome has no consistent or unique clinical features that distinguish it from other more common forms of obstructive jaundice.
Ultrasound of the liver and biliary tree is often used as the initial imaging modality in patients with suspected obstructive jaundice.
Two-thirds of patients present with either obstructive jaundice or a "mass" in the head of the pancreas mimicking carcinoma.
In obstructive jaundice, no bilirubin reaches the small intestine, meaning that there is no formation of stercobilinogen.
Patients presenting with obstructive jaundice caused by bile duct stricture may be managed by either surgery or stenting.
Low urine urobilinogen may result from complete obstructive jaundice or treatment with broad-spectrum antibiotics, which destroy the intestinal bacterial flora.
Since then these stents have been used in bile ducts for malignant obstructive jaundice and are placed either percutaneously or endoscopically.
This happens, however, in patients with obstructive jaundice caused by bile duct stricture where there is difficulty in obtaining a tissue diagnosis.
Obstructive jaundice (biliary tract stenosis)
Biliary pruritus is caused by chronic liver disease with obstructive jaundice, characterized by a severe generalized itchy sensation.
In this case, presence of bilirubin (conjugated) in the urine without urine-urobilinogen suggests obstructive jaundice, either intra-hepatic or post-hepatic.
The obstructive jaundice can be caused by direct extrinsic compression by the stone or from fibrosis caused by chronic cholecystitis (inflammation).
Obstructive jaundice is jaundice occurring due to obstruction of the bile duct (by gallstones or external obstruction by cancer).
Historically, yellow dock has been used for skin diseases, skin inflammation (dermatitis), rashes, a vitamin deficiency called scurvy, obstructive jaundice, and psoriasis with constipation.
Addison and Gull in 1851 described the clinical picture of progressive obstructive jaundice in the absence of mechanical obstruction of the large bile ducts.
As with other biliary tree obstructions it is usually associated with 'colicky' pain, and because there is direct obstruction of biliary output, obstructive jaundice.
In patients with obstructive jaundice secondary to extrahepatic bile duct obstruction, about one third have a focal lesion detected on initial ultrasound and about two thirds on computed tomography.
During laparotomy, 2 cm of more proximal bile duct was missing and bile leaked from the common hepatic duct into the abdominal cavity, explaining the absence of obstructive jaundice.
When patients with malignant obstructive jaundice have been randomised to either surgery or insertion of a large diameter biliary stent, the 30 day mortality in the endoscopic group was significantly lower or showed a trend in that direction.
Before percutaneous fine needle aspiration cytology was attempted many groups had shown that a tissue diagnosis could be achieved in some patients with obstructive jaundice caused by malignancy by detecting neoplastic cells in duodenal aspiration.
He was awarded 'Humanitarian of the year' by the All India Human Rights Association in 2007 and a Silver Medal at Shirin Mehtaji Oration for 'Obstructive Jaundice' in 1996 .
Dr. Bruno Pats, the chief intensive-care doctor at Percy, concluded his medical report into Arafat's death by listing his various syndromes: the digestive distress, the hematological disorders, the obstructive jaundice, the neurological stupor and coma.