A Patient With AIDS and an Unusual Cause of Jaundice

Question: A 59-year-old man presented to the clinic with 5 days of right upper quadrant abdominal pain, pruritus, and scleral icterus. The pain was constant, dull, nonradiating, and not associated with fever or rigors. His medical history pertinent for a diagnosis of AIDS 7 months before presentation. The patient subsequently had developed cytomegalovirus retinitis and disseminated Mycobacterium avium complex (MAC) infection. Physical examination was remarkable for scleral icterus and mild tenderness to deep palpation in the right upper quadrant without any rebound or guarding.
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Electronic Clinical Challenges and Images in GI Source Type: research