Possible Causes for Painless Jaundice Adenocarcinoma of the Ampulla of Vater Case report We report the case of a 78-year-old woman with painless jaundice of recent onset. [scielo.isciii.es] The patient initially developed painless jaundice about 1 year previously, and was found to have a cancer of the ampulla. [medicorcancer.com] Case Report: A 61 year old woman presented with painless obstructive jaundice of 2 months duration. [journals.sjp.ac.lk] Pancreatic Adenocarcinoma This patient initially presented with painless jaundice and computed tomography (CT) revealed a mass in the head of the pancreas. [ncbi.nlm.nih.gov] jaundice The majority of pancreatic cancer is incurable at presentation 1 2 Whether or not pancreatic cancer is deemed curable, current surgical, endoscopic, and oncological [bmj.com] jaundice and enlarged gallbladder Trousseau syndrome: migratory thrombophlebitis new-onset diabetes mellitus lipase hypersecretion syndrome (10-15%) 9 polyarthralgia and [radiopaedia.org] Malignant Neoplasm of the Pancreas Another symptom is painless jaundice (yellowish discoloration of the eyes) associated with passage of tea-colored urine and grayish white (alcoholic) stools when imme3diately [themedicalcityclark.com] CASE REPORT A 55-year-old female was hospitalized for the problem of painless obstructive jaundice. [pancreas.imedpub.com] Therefore, a painless jaundice that becomes worse is often the first sign of pancreatic cancer. [patient.info] Gallbladder Carcinoma Of note, Courvoisier's law states that in the presence of a palpably enlarged gallbladder which is nontender and accompanied with mild painless jaundice, the cause is unlikely [en.wikipedia.org] Symptoms and Signs of Gallbladder and Bile Duct Tumors Most patients with cholangiocarcinomas present with pruritus and painless obstructive jaundice, typically at age 50 [merckmanuals.com] Toxic Hepatitis Johnson, 62-Year-Old Man With Painless Jaundice and Hyponatremia, Mayo Clinic Proceedings, 10.1016/j.mayocp.2012.09.009, 88, 6, (e49-e53), (2013). [doi.org] Metastatic Liver Carcinoma Ultrasound The most striking clinical symptom leading to diagnostic imaging is painless obstructive jaundice, which is caused by compression or ingrowth of the distal common [radiologyassistant.nl] Syphilitic Liver Cirrhosis […] sores) genital warts, possibly no symptoms Sores, flu-like symptoms, possibly no symptoms Painful urination, discharge, possibly no symptoms Jaundice (yellow skin), fatigue [quizlet.com] […] represent one type of infection but a whole group of infections that are spread through intimate contact. painful urination, discharge, possibly no symptoms skin rash, chancre (painless [quizlet.com] Cholestatic Jaundice […] usually due to stones or tumor ROS: Painless jaundice suggests malignancy whereas choledocholithiasis often p/w colicky abdominal pain PE: jaundice, abd ttp. [errolozdalga.com] Painful obstructive jaundice is usually related to gallstones, while painless obstructive jaundice tends to be related to tumours. [singhealth.com.sg] Fig. 4: Fig 4Pancreatic carcinoma A 59 years old men presented with painless jaundice... Know the place of imaging techniques in the exploration of cholestatic jaundice. [posterng.netkey.at] Cryptogenic Cirrhosis Abstract Some patients diagnosed with cryptogenic cirrhosis may have "burned-out" nonalcoholic fatty liver disease (NAFL). To test this hypothesis, we used our liver transplant database (November 1984 to November 1998) to assess the incidence of NAFL in patients with cryptogenic cirrhosis after orthotopic liver[…] [ncbi.nlm.nih.gov] Viral Hepatitis Abstract The commonest causes of acute pancreatitis are cholelithiasis and alcohol. Rare causes include various viral infections, among which mumps is the commonest. Hepatitis A, hepatitis B and, recently, hepatitis E have been reported to cause acute but mild pancreatitis in patients with acute viral hepatitis. This[…] [ncbi.nlm.nih.gov] Hepatitis B Hepatitis B is a form of viral hepatitis, caused by the hepatitis B virus, a member of the Hepadnavirus family. It is estimated that worldwide, more than 350 million people have chronic hepatitis B virus infection. The course of the disease may be extremely variable, depending on the patient’s age and immune status.[…] [symptoma.com] Autoimmune Hepatitis AIM: To investigate potential triggering factors leading to acute liver failure (ALF) as the initial presentation of autoimmune hepatitis (AIH). METHODS: A total of 565 patients treated at our Department between 2005 and 2017 for histologically-proven AIH were retrospectively analyzed. However, 52 patients (9.2%)[…] [ncbi.nlm.nih.gov] Primary Biliary Cirrhosis History Of patients with primary biliary cholangitis, 25% are incidentally diagnosed during a routine blood evaluation. Fatigue (65%) Fatigue is the first reported symptom. It can cause disability in some patients and has been associated with depression and obsessive-compulsive behavior. The etiology is unknown;[…] [emedicine.medscape.com] Hepatitis A Hepatitis A is a form of viral hepatitis, caused by the hepatitis A virus, a single-stranded, positive-sense, linear RNA enterovirus of the Picornaviridae family. The virus spreads by the fecal-oral route and infections often occur in conditions of poor sanitation. The incubation period usually lasts 2 to 6 weeks.[…] [symptoma.com] Carcinoma of Ampulla of Vater jaundice, choluria, and acholia for the previous 10 days. [karger.com] Case report We report the case of a 78-year-old woman with painless jaundice of recent onset. [scielo.isciii.es] […] obstructive jaundice. [orpha.net] Neoplasm of Ampulla of Vater Carcinoids involving the ampulla of Vater are rare lesions that may produce painless jaundice. [ncbi.nlm.nih.gov] jaundice which may have waxing and waning nature because at times the sloughing of the tumor tissue relieves the obstruction partially. [ citation needed ] Notes [ edit ] [en.wikipedia.org] The patient initially developed painless jaundice about 1 year previously, and was found to have a cancer of the ampulla. [medicorcancer.com] Malignant Neoplasm of the Gallbladder A 65-year-old man with prior cholecystectomy presented with painless jaundice, vomiting, and weight loss. CA19-9 and alpha-fetoprotein (AFP) were elevated. [hindawi.com] Painless jaundice (yellow/orange coloring of the skin and eyes) may be the only initial clue. [medicinenet.com] Of note, Courvoisier's law states that in the presence of a palpably enlarged gallbladder which is nontender and accompanied with mild painless jaundice, the cause is unlikely [en.wikipedia.org] Hepatitis E We investigated a case of hepatitis E acquired after persons ate wild boar meat. Genotype 3 hepatitis E virus (HEV) RNA was detected in both patient serum and wild boar meat. These findings provided direct evidence of zoonotic foodborne transmission of HEV from a wild boar to a human. [ncbi.nlm.nih.gov] Indian Childhood Cirrhosis Abstract We previously demonstrated decreased metallothionein (MT) synthesis in cultured fibroblasts obtained from an American boy with findings typical of Indian Childhood Cirrhosis (ICC). We now report normal basal, copper-induced, and zinc-induced MT synthesis in the fibroblasts of two Indian boys and one Irish[…] [ncbi.nlm.nih.gov] Weil Disease Leptospirosis is a zoonotic infection with higher incidence in tropics. Leptospirosis, is known for its variable manifestations, and is a clinical challenge for physicians in the tropics. Experienced clinicians, at times can mistake leptospirosis for non-medical conditions. A few reports of leptospirosis presenting as[…] [ncbi.nlm.nih.gov] Leptospirosis Leptospirosis is an infection caused by corkscrew-shaped bacteria called Leptospira. Signs and symptoms can range from none to mild such as headaches, muscle pains, and fevers to severe with bleeding from the lungs or meningitis. If the infection causes the person to turn yellow, have kidney failure and bleeding, it[…] [en.wikipedia.org] Yellow Fever The first case of yellow fever in French Guiana since 1902 was reported in March 1998. The yellow fever virus genome was detected in postmortem liver biopsies by seminested polymerase chain reaction. Sequence analysis showed that this strain was most closely related to strains from Brazil and Ecuador. [ncbi.nlm.nih.gov] Biliary Tree Disease Note: If tumor is obstructing the common bile duct, painless jaundice may develop gradually over weeks prior to onset of infection. [cram.com] It most commonly presents with painless jaundice or acute pancreatitis. Biliary tract cysts Cystic dilatation of the biliary tree is an uncommon abnormality. [emedicine.medscape.com] Pancreatic Disorders Carcinoma of the head of the pancreas can manifest with painless jaundice caused by obstruction of the bile duct as it passes through the head of the [clevelandclinicmeded.com] Ampulla of Vater Obstruction Syndrome Painless jaundice (yellow/orange coloring of the skin and eyes) may be the only initial clue. [medicinenet.com] Case report Here, we report the case of a 68-year-old man who presented with painless obstructive jaundice, general fatigue, loss of appetite and weight loss. [pancreas.imedpub.com] CASE REPORT A 68-year-old man was admitted because of painless obstructive jaundice of 10-day duration when he noticed yellow colored scleras, dark colored urine and stool [pancreas.imedpub.com] Riedel Thyroiditis Painless jaundice with serial multi-organ dysfunction. Lancet. 2009 Apr 25. 373(9673):1494. [Medline]. Drieskens O, Blockmans D, Van den Bruel A, et al. [emedicine.medscape.com] Signet Ring Cell Pancreatic Adenocarcinoma Case report We report the case of a 78-year-old woman with painless jaundice of recent onset. [scielo.isciii.es] Ampullary Signet Ring Cell Adenocarcinoma Case report We report the case of a 78-year-old woman with painless jaundice of recent onset. [scielo.isciii.es] Pancreatic Ductal Carcinoma jaundice and enlarged gallbladder Trousseau syndrome: migratory thrombophlebitis new-onset diabetes mellitus lipase hypersecretion syndrome (10-15%) 9 polyarthralgia and [radiopaedia.org] […] ataxia-telangiectasia Peutz-Jeghers syndrome Perhaps surprisingly there is only a weak association, if at all, with heavy alcohol consumption 1. pain (most common) Courvoisier gallbladder: painless [radiopaedia.org] Ampulla of Vater Clear Cell Adenocarcinoma Case report We report the case of a 78-year-old woman with painless jaundice of recent onset. [scielo.isciii.es] Squamous Cell Carcinoma of Ampulla of Vater Case report We report the case of a 78-year-old woman with painless jaundice of recent onset. [scielo.isciii.es]