Biliary Cast Syndrome in Non-Liver Surgery Patients.
10.4166/kjg.2012.60.6.382
- Author:
Seung In HA
1
;
Jung Sik CHOI
;
Young Hoon KIM
;
Hyun Soo JUN
;
Yong Gun JO
;
Won Hyun LEE
;
Seong Gill PARK
;
Sang Heon LEE
Author Information
1. Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. cwj1225@naver.com
- Publication Type:Case Reports ; English Abstract
- Keywords:
Biliary cast;
Liver transplantation;
Ischemia
- MeSH:
Acute Disease;
Ascariasis/diagnosis;
Bile Duct Diseases/*diagnosis/ultrasonography;
Bile Ducts/ultrasonography;
Cholagogues and Choleretics/therapeutic use;
Cholangiopancreatography, Endoscopic Retrograde/adverse effects;
Female;
Gallstones/diagnosis;
Humans;
Liver Cirrhosis, Biliary/diagnosis/drug therapy;
Male;
Middle Aged;
Pancreatitis/etiology;
Tomography, X-Ray Computed;
Ursodeoxycholic Acid/therapeutic use
- From:The Korean Journal of Gastroenterology
2012;60(6):382-385
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biliary cast describes the presence of casts within the biliary tree. It is resultant sequel of cholangitis and hepatocyte damage secondary to bile stasis and bile duct injury. Biliary cast syndrome was first reported in patient undergone liver transplantation. The pathogenesis of biliary cast is not clearly identified, but proposed etiologic factors include post-transplant bile duct damage, ischemia, biliary infection, or post-operative biliary drainage tube. Although biliary casts are uncommon, most of biliary cast syndrome are reported in the liver transplant or hepatic surgery patients. A few reports have been published about non-transplant or non-liver surgery biliary cast. We report two cases of biliary cast syndrome in non-liver surgery patients.