Case 45-1977

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Abstract
Presentation of CaseA 39-year-old man was admitted to the hospital because of jaundice.He was well until three months previously, when he began to have heartburn and frequent belching; he reduced his food intake and lost 7 kg in weight. Six weeks before admission he entered another hospital, where bilateral inguinal herniorrhaphy was performed under nitrous oxide — halothane anesthesia. Pruritus occurred almost immediately after the operation, with anorexia, nausea and occasional vomiting. One week later jaundice developed, and his stools were tan, malodorous and floating; his urine was dark, and he noticed a distaste for cigarettes. The jaundice . . .