Case of persistent jaundice after bile duct stone clearance

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...