HardGastroenterologyObstructive Jaundice (Pancreatic Cancer suspected)mrcp part 1ukmlapane
A 50-year-old man with no previous history presents with jaundice, pruritus, and pale stools for the past week. He denies abdominal pain, fever, or weight loss. On examination, he is deeply jaundiced, and the gallbladder is palpable and non-tender (Courvoisier's sign). Liver function tests show a markedly elevated bilirubin (predominantly conjugated) and alkaline phosphatase. What is the most likely underlying cause?