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A Rare Presentation of Asymmetrical Jaundice
Timothy Chan1, Almothana Manasrah2, Usama Sakhawat3
1Department of Internal Medicine, Norton College of Medicine, State University of New York Upstate Medical University, Syracuse, NY.
None:
Jaundice typically reflects elevated serum bilirubin and manifests as a symmetric yellow discoloration of the skin and sclera. We describe a rare case of a young man who developed asymmetrical jaundice and edema days after receiving right lower quadrant paracenteses. The distribution of his jaundice and edema was anatomically correlated and favored his left side in both intensity and severity. Previous reports of asymmetrical jaundice speculated peritoneal-subcutaneous fistula formed by invasive abdominal procedures, but this incompletely explains this phenomenon. Asymmetrical jaundice is an extremely rare finding with scant representation in the literature, and its pathophysiology is likely multifactorial.
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