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Related Concept Videos

Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

456
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
456
Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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Updated: Jul 8, 2025

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
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B-Lymphoblastic Leukaemia Presenting as Intrahepatic Cholestasis.

Daniyal Raza1,2, Maryam Mubashir2, Karan Sachdeva1

  • 1Department of Internal Medicine, LSU Health Shreveport, Shreveport, United States.

European Journal of Case Reports in Internal Medicine
|December 11, 2023
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Summary

A patient initially suspected of acute cholangitis was diagnosed with B-lymphoblastic leukemia due to unexpected blast cells. This highlights the need for comprehensive evaluation of jaundice, considering rare hematologic malignancies.

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B-ALLERCPintrahepatic cholestasis

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Area of Science:

  • Hematology
  • Gastroenterology
  • Oncology

Background:

  • Acute cholangitis requires prompt intervention.
  • Obstructive jaundice necessitates thorough diagnostic evaluation.
  • Hematologic malignancies can present with diverse hepatic manifestations.

Purpose of the Study:

  • To explore diagnostic challenges in acute cholangitis.
  • To highlight the importance of comprehensive assessment for obstructive jaundice.
  • To raise awareness of hematologic malignancies mimicking liver disease.

Main Methods:

  • Case report of a 38-year-old woman with Crohn's colitis.
  • Initial presentation with abdominal pain, jaundice, and leukocytosis.
  • Unexpected peripheral smear findings leading to revised diagnosis.

Main Results:

  • Initial suspicion of acute cholangitis was replaced by B-lymphoblastic leukemia diagnosis.
  • Leukemic infiltration of the liver caused obstructive jaundice.
  • Steroids and chemotherapy resolved liver abnormalities.

Conclusions:

  • Thorough initial assessment is crucial for liver involvement symptoms.
  • Peripheral smear is vital for detecting underlying hematologic conditions.
  • Leukemic infiltration of the liver is a rare but critical differential diagnosis for obstructive jaundice.