Self assessment questions
| Answers on p 412. |
Intermittent jaundice and rigors in a patient with longstanding ulcerative colitis
N D Hawkesa, D Mutimerb, G A O Thomasaa Department
of Gastroenterology, University Hospital of Wales, Cardiff CF14
4XN, UK, b Liver Unit, Queen Elizabeth Hospital, Birmingham
Correspondence to: Dr Hawkes
Submitted 21
August 2000;
Accepted 31 October 2000
| The first 150 words of the full text of this article appear below. |
A 44 year old man was admitted with a history of intermittent jaundice and rigors. Three months previously he had been admitted to another hospital with similar symptoms and half a stone (3.2 kg) weight loss. At this time his problems were thought to be secondary to choledocholithiasis. At operation, gallstones were seen in the common bile duct with an associated lower common bile duct stricture. He underwent cholecystectomy and choledochoduodenostomy. The symptoms initially resolved postoperatively but subsequently recurred on an intermittent basis. He was transferred to our hospital for further management of his problems.
He had a 28 year history of ulcerative colitis, based on barium enema, which had remained quiescent for many years on salazopyrin maintenance treatment. His past medical history included segmental bronchiectasis secondary to childhood whooping cough. He was a life long non-smoker and did not drink alcohol.
He was jaundiced but apart from a right Dupytren's
contracture
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