Case Report | Volume: 1, Issue: 1 Published Date: July 26, 2025

A Rare Case of Primary Sclerosing Cholangitis in a 20-Year-Old Man

Author(s): Dr. Guru Yogendra M* and Dr. Anil Kumar Sakalecha

Abstract: Primary Sclerosing Cholangitis is a rare, long-lasting cholestatic liver disease characterised by advanced inflammation and fibrosis of the intrahepatic and extrahepatic bile ducts. It is infrequent in young adults, making the primary diagnosis and management serious to prevent difficulties. A 20-year-old male presented with icterus, pruritus, fever, and yellowish discoloration of urine. Laboratory investigations exposed deranged liver function tests, including elevated bilirubin and cholestatic enzymes. The patient underwent Magnetic Resonance Cholangiopancreatography, which established characteristic features of PSC such as intrahepatic bile duct beading, multifocal strictures, periductal fibrosis, caudate lobe hypertrophy, and bile duct wall thickening.

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