Biliary Cast Formation with Sclerosing Cholangitis in Critically Ill Patient: Case Report and Literature Review.
10.3348/kjr.2012.13.3.358
- Author:
O nyoung KWON
1
;
Seung Hyun CHO
;
Chang Keun PARK
;
Sung Hee MUN
Author Information
1. Department of Radiology, Daegu Fatima Hospital, Daegu 701-600, Korea.
- Publication Type:Case Reports ; Review
- Keywords:
Sclerosing cholangitis;
Biliary cast formation;
Sclerosing cholangitis in critically ill patients;
CT;
Magnetic resonance cholangiopancreatography
- MeSH:
Aged;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangiopancreatography, Magnetic Resonance;
Cholangitis, Sclerosing/*diagnosis/drug therapy;
Contrast Media/diagnostic use;
*Critical Illness;
Cryptogenic Organizing Pneumonia/diagnosis/surgery;
Diagnosis, Differential;
Humans;
Liver Function Tests;
Male;
Thoracic Surgery, Video-Assisted;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2012;13(3):358-362
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sclerosing cholangitis in critically ill patients (SC-CIP) is a rare condition that is not familiar to many radiologists. In addition, the associated imaging findings have not been described in the radiological literature. We report a case of biliary cast formation with SC-CIP and describe the radiological findings of CT, magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiography (ERC). A diagnosis of SC-CIP should be considered in intensive care unit (ICU) patients with persistent cholestasis during or after a primary illness. The typical CT, MRCP and ERC findings include new biliary casts in the intrahepatic duct with multiple irregular strictures, dilatations, and relative sparing of the common bile duct.
