A 55 year old gentleman presented with history of right upper quadrant discomfort, jaundice, pruritis, fever, fatigue and weight loss. His serum bilirubin and alkaline phosphatase levels are raised and he also gives history of treatment for inflammatory bowel disease. He is most likely to be suffering from:
Ans. (d) Primary sclerosing cholangitisThe clinical feature of obstructive jaundice (jaundice, pruritis, raised bilirubin and alkaline phosphatase) along with Inflammtory bowel disease in an adult male is suggestive of Primary sclerosing cholangitis.
Benign bile duct stricture with cholangitis
Biliary worms
Bile duct malignancy
Primary sclerosing cholangitis
Liver & Biliary Tract