A 67-year-old Caucasian man presented to our department with a 10-day history of painless jaundice and generalised pruritus. He reported no alcohol or drug intake, no history of travelling abroad and no significant personal or family medical history. Physical examination was normal except for excoriations. Laboratory studies revealed cholestasis with markedly increased conjugated bilirubin (466.9 µmol/L) and an alkaline phosphatase (AP) level of 445 IU/mL. Transaminase, gamma-glutamyl transferase (GGT), serum albumin and prothrombin levels were within normal range. The extended viral hepatitis panel was negative as were the antimitochondrial and antinuclear antibodies. Abdominal ultrasound showed gallbladder stones and a 7 mm diameter common bile duct with no visible obstruction or intrahepatic biliary dilatations. The …

中文翻译：

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胆管结石清除后黄疸持续一例

一名 67 岁的白人男性因无痛性黄疸和全身瘙痒 10 天就诊于我科。他报告没有饮酒或吸毒，没有出国旅行史，也没有重要的个人或家庭病史。除表皮外，体格检查正常。实验室研究显示胆汁淤积，结合胆红素 (466.9 µmol/L) 显着升高，碱性磷酸酶 (AP) 水平为 445 IU/mL。转氨酶、γ-谷氨酰转移酶（GGT）、血清白蛋白和凝血酶原水平在正常范围内。扩展的病毒性肝炎小组是阴性的，抗线粒体和抗核抗体也是如此。腹部超声显示胆囊结石和直径 7 mm 的胆总管，没有可见的阻塞或肝内胆管扩张。这 …