[Pitfalls in the workup of common hepatobiliary problems].
Hepatobiliary problems are not uncommon in general practice. Many cases can be solved on the basis of a thorough history, clinical examination, blood tests and abdominal ultrasound. The focus of this tutorial paper lies on a number of possible pitfalls in the workup of such problems, based on brief case histories. Atypical presentations of lithogenic biliary obstruction, with or without cholangitis, are discussed as a relatively frequent cause of management difficulties. Furthermore, certain caveats in the interpretation of tumor marker CA19-9, prothrombin time/INR, and ferritin are highlighted.
Criblez
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Gastroenterologische Abteilung, Medixinische Klinik, Kantonsspital Luzern. dominique.criblez@ksl.ch
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000000981:diagnostic imaging; D018395:CA-19-9 Antigen / Q000097:blood; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D003951:Diagnostic Errors; D005260:Female; D016473:Gallbladder Emptying / Q000502:physiology; D042882:Gallstones / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008111:Liver Function Tests; D016717:Sphincterotomy, Endoscopic; D014463:Ultrasonography
D018395:CA-19-9 Antigen