Article Text

Unusual presentation of more common disease/injury
An unusual cause of obstructive jaundice
  1. Aula Abbara1,
  2. Huda Al-Hadithy2,
  3. Shahid Khan2,
  4. Philip Shorvon3
  1. 1
    Hillingdon Hospital, Uxbridge, London, UB8 3NN, UK
  2. 2
    St Mary’s Hospital, Praed Street, London, W2 1NY, UK
  3. 3
    Central Middlesex Hospital, Acton Lane, London, NW10 7NS, UK
  1. Aula Abbara, aula{at}doctors.org.uk

Summary

An 80-year-old Caucasian woman presented with a 3-week history of painless jaundice, pruritis, dark urine and weight loss. Blood analysis demonstrated an obstructive jaundice pattern. A CT scan demonstrated a gas-filled duodenal diverticulum arising from the second part of the duodenum. Once food material was cleared from the diverticulum endoscopically, there was clinical and biochemical improvement. This case demonstrates an unusual cause of obstructive jaundice that has seldom been reported in the literature; once impacted food material was removed from the diverticulum, there was radiological improvement of the patient’s condition.

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Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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