Affiliation:
1. Department of Gastroenterology Tribhuvan University Teaching Hospital, Institute of Medicine Kathmandu Nepal
2. Department of Internal Medicine B.P. Koirala Institute of Health Science Dharan Nepal
Abstract
AbstractAn 83‐year‐old‐male patient presented with obstructive jaundice, whose imagings were consistent with the cholangiocarcinoma of the distal common bile duct. The tumor markers were within normal limits. IgG4 level was raised; therefore, IgG4‐sclerosing cholangitis was made as the provisional diagnosis. Steroid therapy was started to which he responded well.