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A 5-year-old male patient was admitted due to fever, and right upper abdominal pain for 2 weeks.
He showed severe right upper quadrant tenderness on palpation, hepatomegaly 5 cm below the
right costal margin, no mass, and no splenomegaly. On biochemical studies, ALT was 380IU/ml,
AST 462IU/ml, alkaline phosphatase 1,069IU/ml, γGTP 239IU/ml, and total bilirubin 2.1mg/dl. Endoscopic
retrograde cholangiopancreatography (ERCP) showed cylindrical dilatations of... |