1.A Case of Liver Transplantation for Primary Sclerosing Cholangitis.
Gi Deog KIM ; Myung Hwan KIM ; Chul Ho HYUNG ; Jin Woo SONG ; Jung Jun CHOI ; Jung Kwon KIM ; Tae Hoon LEE ; Won Jang KIM ; Su Jin KOH ; Sang Su LEE ; Sung Koo LEE ; Dong Wan SEO ; Young Il MIN ; Sun Young JUN ; Eun Sil YU
The Korean Journal of Gastroenterology 2003;42(5):431-435
Primary sclerosing cholangitis (PSC) is a rare disease entity. The medical therapy for PSC has not been reasonably beneficial. Thus liver transplantation is known to be the ultimate therapy. Because liver transplantation for PSC has been performed rarely in Korea, we report a case of liver transplantation for PSC with a review of the literature. A 35-year-old male was admitted to our hospital with recurrent jaundice for seven years. ERCP showed multiple strictures of intrahepatic duct and an irregularity of the extrahepatic duct wall. Despite medication and endoscopic treatment, liver functions did not imporve and clinical status got worsened. Thus liver transplantation was performed for the correction of hepatic failure. Two months after transplantation, liver functions and general weakness gradually improved and now, one year after liver transplantation, the patient is in normal life.
Adult
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Cholangitis, Sclerosing/diagnosis/*surgery
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Humans
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*Liver Transplantation
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Male
2.Biliary Cast Formation with Sclerosing Cholangitis in Critically Ill Patient: Case Report and Literature Review.
O nyoung KWON ; Seung Hyun CHO ; Chang Keun PARK ; Sung Hee MUN
Korean Journal of Radiology 2012;13(3):358-362
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.
Aged
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Cholangiopancreatography, Endoscopic Retrograde
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Cholangiopancreatography, Magnetic Resonance
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Cholangitis, Sclerosing/*diagnosis/drug therapy
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Contrast Media/diagnostic use
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*Critical Illness
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Cryptogenic Organizing Pneumonia/diagnosis/surgery
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Diagnosis, Differential
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Humans
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Liver Function Tests
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Male
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Thoracic Surgery, Video-Assisted
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Tomography, X-Ray Computed