A case of 38 yr old male patient,
complaint of right upper abdominal pain, off and on in one year.
PE; marked jaundice, no abdominal tenderness
LAB; GOT; 328/ GPT; 417 /AKP;132/ GGT;302 /BIL TOTAL; 5.6/ D BIL 3/
DX; CBD OBSTRUCTION OR A/C HEPATITIS,
ABDOMEN USG; GALL BLADDER ADENOMYOMATOSIS WITH STONE,CBD NOT DILATED. ARRANGE ERCP
