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A 67-year-old woman presented to the emergency department with epigastric pain and tarry stool of several days’ duration. She presented with normal vital signs and mild epigastric tenderness. Laboratory results revealed mildly decreased haemoglobin (107 g/L), elevation in alanine transferase (206 U/L) and total bilirubin level (1.8 mg/dL). Abdominal ultrasonography revealed a left hepatic lobe cystic lesion (5 cm) with diffuse biliary tract dilatation. Esophagogastroduodenoscopy revealed superficial gastritis and dark bile juice over the second portion of the duodenum. She underwent intravenous …
Contributors Concept or design, drafting of the article and critical revision for important intellectual content: all authors. Acquisition of data: C-HL and M-CC. Analysis or interpretation of data: T-CW.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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