Case presentation highlights diagnostic challenges of autoimmune hepatitis in inflammatory bowel disease, suggesting complexities in identifying liver pathology.
Key Points
Diagnosis of autoimmune hepatitis confirmed via liver biopsy after excluding other causes of elevated transaminases.
Patient exhibited elevated transaminases and hypergammaglobulinemia but lacked typical AIH autoantibodies.
Hepatic ultrasound revealed lymphadenopathy, raising concerns for infection or malignancy.
Patient's history of inflammatory bowel disease treatment with vedolizumab and prior azathioprine contributes to diagnostic complexities.