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 ; 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