Jaundice developing after the neonatal period requires prompt investigation. Surgical causes of cholestatic jaundice, apart from extrahepatic biliary atresia and choledochal cyst, are rare. We describe a case of bile duct dilatation associated with an impacted calculus at the ampulla of Vater in a haemophiliac. The ultrasound finding of a dilated duct was an indication to proceed to surgery.
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