كلستاز خوش خيم گزارش سه مورد

Benign postoperative intrahepatic cholestasis, report of 3 Cases

Inroduction: Benign postoperative intrahepatic cholestasis (BPOIHC) is one of the causes of postoperative jaundice in which intrahepatic cholestasis is significant and there is, no inflammation or hepatic cell necrosis. The aim of this study is to present BPOIHC for better diagnosis and avoidance of unnecessary operations. From 2001- 2004 all patients that have developed postoperative jaundice have been studied with proper clinical and paraclinical tests and other causes of jaundice have been ruled out. Patients with postoperative jaundice have also been studied with proper clinical and paraclinical tests. In this report 3 patients with criteria of BPOIHC have been studied. Jaundice has begun from day 3-8 after operation. Non of them had pruritus, fever, or hepatosplenomegaly. Transaminase levels were normal. Alkaline phosphatase level was in normal range. Abdominal ultrasonography and CT scan were normal. These patients were observed and no problematic treatment has begun. Conclusion: BPOIHC must be in differential diagnosis of postoperative jaundice and with exclusion of other causes of jaundice when this diagnosis is made, the patients must be observed only until jaundice subsides.