I present a case of 36 yr old female patient with no comorbidities, who underwent lap to open (converted) cholecystectomy for mucocoele of gall bladder. She developed post cholecystectomy jaundice, on mrcp cbd stones were detected which were removed by ercp and a stent placed. However her bilirubin continued to rise from 6mg% to 11 divided almost equally in direct and indirect fractions (post ercp15days) Alk k. Phosphatase is 280 normal is up to 115.
Other LFTs are wnl.No fever or pain TLC is normal. Medical causes like Hbsag, HCV, Gilbert's and hemolytic anaemias are ruled out. Can somebody suggest the cause and management thereof.
