Download Case 2

Case # 2. Dr. Laura Lamps
A 29 year old Caucasian female underwent
preoperative blood work prior to laparoscopic
removal of a benign paratubal cyst.
She was found to have an AST of 58, ALT of 111,
alkaline phosphatase of 14, and total bilirubin of
1.0. ANA was positive at 1:80. The patient also had
a markedly elevated total cholesterol.
Upon referral to a gastroenterologist, she had
no complaints, but was noted to be markedly obese
(5 feet 4 inches tall, 240 pounds). She denied
alcohol or drug use in the past, and viral serologies
were negative. A liver biopsy was performed.