A rare cause of obstructive jaundice - case report

Main Article Content

Priya Mohan
Sumathi Bavanandam
Sunil Kumar KS

Abstract

Obstructive jaundice in children is not uncommon and has diverse etiologies. We report a rare cause of obstructive jaundice, cholangitis and pancreatic mass in a young boy due to eosinophilic cholangiopathy who responded to oral steroids. Presence of peripheral eosinophilia, elevated serum IgE level, radiological imaging and tissue eosinophilia helped in diagnosis. Eosinophilic cholangiopathy with pancreatitis is a benign treatable cause of obstructive jaundice though it can masquerade as malignancy.

Article Details

Mohan, P., Bavanandam, S., & KS, S. K. (2017). A rare cause of obstructive jaundice - case report. Annals of Clinical Gastroenterology and Hepatology, 1(1), 001–003. https://doi.org/10.29328/journal.hcg.1001001
Case Reports

Copyright (c) 2017 Mohan P, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Kim YH. Eosinophilic cholecystitis in association with clonorchis sinesis infestation in the common bile duct. Clin Radiol. 1999; 54: 552-554. Ref.: https://goo.gl/N6AGV4

Raptou G, Pliakos I, Hytiroglou P, Papavramidis S, Karkavelas G. Severe eosinophilic cholangitis with parenchymal destruction of the left hepatic lobe due to hydatid disease. Pathol Int. 2009; 59: 395-398. Ref.: https://goo.gl/Y2Q1oX

Nashed C, Sakpal SV, Susharina V. Chamberlain RS. Eosinophilic cholangitis and cholangiopathy: a sheep in wolves clothing. HPB Surg. 2010; 2010: 906496. Ref.: https://goo.gl/25qQ2v

Goode EC, Simpson BW, Rushbrook SM. A rare cause of cholangiopathy. Gastroenterology. 2013; 144: 14-15. Ref.: https://goo.gl/RQGXFp

Chen WH, Yu CC, Wu CC, Jan YJ. Eosinophilic cholangitis with obstructive jaundice mimicking bile duct carcinoma. J Hepatobiliary Pancreat Surg. 2009; 16: 242-245. Ref.: https://goo.gl/FcwtK8

Matsumoto N, Yokoyama K, Nakai K, Yamamoto T, Otani T, et al. A case of eosinophilic cholangitis: imaging findings of contrast-enhanced ultrasonography, cholangioscopy, and intraductal ultrasonography. World J Gastroenterol. 2007; 13: 1995-1997. Ref.: https://goo.gl/iQA1Pq

Cay A, Imamoglu M, Cobanoglu U. Eosinophilic pancreatitis mimicking pancreatic neoplasia Can J Gastroenterol. 2006; 20: 361-364. Ref.: https://goo.gl/uPVXxY

Vauthey JN, Loyer E, Chokshi P, Lahoti S. Case 57: eosinophilic cholangiopathy. Radiology. 2003; 227: 107-112. Ref.: https://goo.gl/SbmVer

Duseja A, Nada R, Dhiman RK, Chawla YK, Kalra N, et al. Eosinophilic cholangiopathy-a case report. Dig Dis Sci. 2005; 50: 1422-1425. Ref.: https://goo.gl/Pqp264