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An ultrasound examination of the right upper quadrant showed hepatosplenomegaly and a thickened gall bladder wall without evidence of cholelithiasis. Because of severe right upper quadrant abdominal pain and significant deterioration of the liver function tests (LFTs) on the first postoperative day, the patient underwent a Doppler ultrasound scan which showed absence of blood flow at the level of porta hepatis. 2) Their common clinical features are obstructive jaundice, cholangitis, weight loss, and right upper quadrant pain. |
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