Choleliths, Pancreatitis and Icterus

Choleliths, Pancreatitis and Icterus

– 11 yr MN DSH with weight loss, decreased appetite and vomiting – marked elevations in bilirubin and ALT, hyperercalcemia (not fasted sample), mild hyperglycemia, ALP normal – a cPLI was not run – bilirubinuria – multiple choleliths throughout liver, distended cystic and CBD – distended pancreatic duct  with a small “lith” present and evidence…

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