Question 463 · LEK · Primary sclerosing cholangitis
A 23-year-old female patient with a history of ulcerative colitis for the past few months has had pruritus and sporadic right-sided subcostal pain. In the previous month she had an episode of jaundice with a fever up to 38°C. Ultrasound examination performed at that time did not show cholecystitis and the patient was disqualified from surgery. Considering the patient’s history, the suspected diagnosis is:
- A. primary sclerosing cholangitis.
- B. cytomegalovirus infection.
- C. acute hepatitis E.
- D. lymphoma confined to the liver.
- E. Gilbert syndrome.
Hint
Link the patient's inflammatory bowel disease with cholestatic features such as pruritus, jaundice and febrile episodes suggesting cholangitis.
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