The clinical manifestations of obstructive jaundice are mainly divided into three aspects, the first is chronic manifestations, the manifestations of obstructive jaundice are vague pain or dull pain in the right upper abdomen, loss of appetite, aversion to oil, weakness, and emaciation, with the deepening of jaundice may be accompanied by skin itching and clay-colored stools, etc. There is usually no severe abdominal pain and chills and fever, so it is often misdiagnosed. The second is the acute manifestation, which can be manifested by the sudden onset of right upper abdominal cramps, accompanied by chills and fever, and jaundice can fluctuate significantly, often confused with cholelithiasis and acute obstructive purulent cholangitis. The third common sign is moderate to severe yellow staining of the skin and sclera, some patients may have palpable enlarged liver with nodular hardness, sometimes there may be percussion pain in the liver area, a few patients have enlarged gallbladder, and advanced patients have ascites signs.