Eosinophilic Cholangitis Along with Obstructive Jaundice and Liver Damage: A Case Report and Review of the Literature

Abstract

1. Abstract
Eosinophilic Cholangitis (EC) is a rare benign self-limiting disease but easily misdiagnosed. Its main features are infiltration of eosinophils in the wall of the biliary tract, extrahepatic bile duct stenosis and obstructive jaundice. We describe the case of a 29-year-old female with EC who initially complained of right epigastralgia, jaundice, nausea and vomiting. We analyzed the clinical presentation, imaging diagnosis results, histopathology and the treatment options for EC (including surgical resection of the bile duct occupying, managed with Roux-en-Y and symptomatic treatment), compared with the few other cases reported in the literature. This case highlights that clinician should be on the alert for the rare case of EC along with obstructive jaundice and liver damage. There is no consensus among experts on its diagnosis and treatment. This case has a certain reference value for the diagnosis and treatment of EC.