A 59-year-old woman was referred to our hospital by her gynaecologist because of progressive jaundice. She had been diagnosed as having left-sided breast cancer 18 months ago. Two months before admission, she had started chemotherapy with intravenous paclitaxel (90 mg/m 2) and bevacizumab (10 mg/kg). l " Fig. 1 summarizes the patient's treatments and results of the liver function tests (LFTs). On admission, blood tests revealed markedly elevated LFTs in a cholestatic pattern and raised levels of C-reactive protein. There was no evidence of underlying viral, metabolic, or autoimmune liver disease, and antibiotic therapy was initiated. A contrast-enhanced abdominal ultrasound and magnetic resonance (MR) scan revealed remarkably normal liver parenchyma (l " Fig. 2) but moderate intrahepatic cholestasis. Subsequently, endoscopic retrograde cholangioscopy (ERCP) was performed, which showed a completely stenosed, but negotiable, common bile duct (CBD) with prestenotic intrahepatic duct dilatation (l " Fig. 3). On the basis of the above findings, secondary sclerosing cholangitis (SSC) was diagnosed. Following the antibiotic therapy and endoscopic intervention, there was a substantial decrease in cholestasis (l " Fig. 1).

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The results of the test showed that there was no causal relation between the patient's angina-like-symptoms and electromagnetic fields. The phenomenon of electrosensitivity was probably caused by psychological mechanisms.

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