Due to the patient's clinical characteristics, tests were done for a possible obstructive biliary pathology of malignant etiology. Hyperbilirubinemia resulting from direct bilirubin and elevated alkaline phosphatase was found Table 1.
Por las características clínicas de la paciente se inician estudios de posible patología biliar obstructiva de etiología maligna encontrando hiperbilirrubinemia a expensas de bilirrubina directa y elevación de fosfatasa alcalina tabla 1.