Thyrotoxicosis-Associated Cholestatic Jaundice in a Patient With Incidental Gallstone Disease: A Case Report and Literature Review.
Zakaria Yahya Khawaji, Basim Saleh Samman, Basem Younis Alturkistany et al.
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Case in brief
A 62-year-old woman presented with right upper quadrant pain, weight loss, and jaundice. Laboratory tests indicated cholestatic liver injury, and imaging revealed a solitary gallstone and signs of right-sided heart failure. Thyroid function tests confirmed primary hyperthyroidism due to toxic multinodular goiter. Treatment with methimazole resulted in significant improvement of jaundice, suggesting thyrotoxicosis as a key factor in her condition.
Diagnostic / clinical pearl
Clinicians should consider hyperthyroidism as a potential cause of cholestatic jaundice, especially in patients with atypical presentations.