25/M presented with jaundice, clay coloured stool and pruritus. Bilirubin was 7gm%, Direct Bilirubin 5gm%, ALP 500 IU/L. Biopsy from biliary tract revealed the following. What is your diagnosis?
Ans. (a) PSC* Clinical feature of jaundice, clay coloured stool and pruritus is suggestive of obstructive jaundice. Biopsy showing fibrotic obliteration of bile ducts ("onionskin" fibrosis) seen in primary biliary cirrhosis.
PSC
SBC
PBC
Bile duct stones
Liver & Biliary Tract