A Case of Biliary Cast with a Characteristic Finding on ERCP / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 254-257, 2003.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Bile
/
Ductos Biliares
/
Colecistectomia
/
Mastectomia Segmentar
/
Colangite
/
Colangiopancreatografia Retrógrada Endoscópica
/
Transplante de Fígado
/
Colangiocarcinoma
/
Mãos
/
Hemólise
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2003
Tipo de documento:
Artigo
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