A Case of Biliary Cast with a Characteristic Finding on ERCP / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 254-257, 2003.
Article
in Korean
| WPRIM
| ID: wpr-140628
ABSTRACT
Cast formation of biliary sludge leading to obstruction and cholangitis have been reported in patients who received orthotopic liver transplantation. The pathogenesis of biliary cast after orthotopic liver transplantation appeared to be multifactorial. Cold ischemic damage, immunologic attack to the bile duct and bile stasis may have played a role. On the other hand, only three cases of biliary cast have been reported in non-transplanted patients. We described the successful endoscopic removal of this complication in a 70-year-old man whose biliary sludge aggregated into firm casts occupying the extrahepatic ducts which has been developed after cholecystectomy and segmentectomy for intrahepatic cholangiocarcinoma. We speculated on the hemolysis and prolonged fasing as the initiating events but the exact pathogenesis of biliary cast remains to be clarified.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Bile
/
Bile Ducts
/
Cholecystectomy
/
Mastectomy, Segmental
/
Cholangitis
/
Cholangiopancreatography, Endoscopic Retrograde
/
Liver Transplantation
/
Cholangiocarcinoma
/
Hand
/
Hemolysis
Type of study:
Diagnostic study
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2003
Type:
Article
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