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KMID : 0359020110420060419
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 6 p.419 ~ p.423
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A Case of Biliary Cast Syndrome in a Non-Liver Transplant Patient
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Jun Sung-Gon
Jeon Seong-Ran
Moon Jong-Ho
Cho Young Deok
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Abstract
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Biliary casts are uncommon but are typically seen in post-liver transplant patients, whereas very few cases have been reported in non-liver transplant patients. A 65- year-old man, who had not undergone a liver transplantation or other hepatobiliary surgery, presented with jaundice and fever. Radiological imaging studies showed diffuse thickening and enhancement of the intrahepatic duct with mild ductal dilatation and multiple linear filling defects. A percutaneous transhepatic cholangioscopy revealed severe bile duct inflammation and multiple biliary casts, which were removed with multiple percutaneous choledocoscopic procedures. The pathogenesis of the biliary casts in this patient was uncertain. However, we presumed that biliary tract infection with subsequent extensive cholangitis was an important predisposing factor in the cast formation. We report a case of biliary cast syndrome with no preexisting morbidity that was managed favorably with endoscopic removal.
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KEYWORD
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Biliary cast, Biliary cast syndrome, Non-Liver transplantation
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