Question 33 · LEK · Gallbladder and bile ducts
A 12-year-old girl was admitted to the ward because of an acute paroxysmal abdominal pain located in the epigastrium and the right subcostal region, radiating to the right side, that appeared the previous morning. The laboratory test showed: ALT 278 U/L, AST 47 U/L, GGTP 178 IU/L, lipase 167 IU/L, amylase 248 mg%, direct bilirubin 2.06 mg%, indirect bilirubin 1.02 mg%. The most probable diagnosis is:
- A. hemolytic-uremic syndrome.
- B. gallstones.
- C. hepatitis type A.
- D. Wilson’s disease.
- E. Shwachman-Diamond syndrome.
Hint
Combine colicky right upper quadrant pain with a cholestatic laboratory pattern and a mild rise in pancreatic enzymes.
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