Hello, I am presenting a case of 57-year-old female दीना देवी, हिंदू by religion, अ, R.O. court बलवाल, who is house maker, presented to emergency with chief complaint of abdominal distension, अ, four to five days, अ, yellow discoloration of skin, five to six days pain abdomen diffuse left more than right, two to four days. अ, the patient, it was associated with the, अ, yellow discoloration of skin was suddenly onset, non-progressive, अ, generalized, first observed in eyes, history of three to four similar episodes which were mild and severe associated with fever, chills, present fatigue, loss of appetite, nausea, abdominal pain, distension, generalized itching, dark-colored urine, AC bruising, and decreased urination. अ, the abdominal distension was, अ, was fluctuant with meals. अ, the pain was, अ, pain was also aggravated on meals. It was severe, अ, severity was mild to moderate. अ, site was left lower abdomen, onset was gradual, used to be on and off, character was sharp and sometimes dull. The pa-- patient has past history of known case of liver disease, 35 years, and, अ, hypotensive also. अ, The patient is newly diagnosed kidney disease, and the very important part is, अ, the patient had, अ, blood transfusion just prior to the episode of jaundice. अ, The difference between the blood transfusion and jaundice episode was around six to seven hours. After transfusion also, the person, person also had, अ, like, just after the transfusion, person had chills and rigors, and, अ, she was then administered Avil and Hydrocodone for the thing. The person has mixed diet , normal bowel and bladder movements. अ, It was, अ, decreased appetite, decreased sleep, menstruation history 14 years, the first menarche and 42 years was menopause. The person has four kids, two males, two females, normal vaginal delivery at home, no history of any, अ, something.