Intrahepatic cholestasis associated with an enlarged gall-bladder

Med J Aust. 1986 Jul 7;145(1):36-7. doi: 10.5694/j.1326-5377.1986.tb113740.x.

Abstract

A 60-year-old man with a history of ingesting herbal medication and a 59-year-old woman with malignant lymphoma presented with painless jaundice and palpably enlarged gall-bladders. Abdominal ultrasonography confirmed that the gall-bladders were enlarged, but showed normal-sized biliary trees with no stones. The final diagnoses for these patients were drug-induced hepatitis with intrahepatic cholestasis and lymphomatous infiltration of the liver, respectively. A palpable gall bladder in cholestatic jaundice may not always be caused by extrahepatic biliary obstruction, and ultrasonography is very useful in ruling this out.

Publication types

  • Case Reports

MeSH terms

  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholestasis, Extrahepatic / diagnosis
  • Cholestasis, Intrahepatic / diagnosis*
  • Diagnosis, Differential
  • Female
  • Gallbladder Diseases / pathology*
  • Humans
  • Hypertrophy
  • Male
  • Middle Aged
  • Ultrasonography