title: Fibrosing cholestatic hepatitis-like syndrome in a hepatitis B virus and hepatitis C virus-negative renal transplant recipient: a case report with autopsy findings.
abstract: We report a patient with fibrosing cholestatic hepatitis (FCH)-like syndrome in renal transplant recipient, who was negative for hepatitis-B and C-virus infection. The patient presented initially with extrahepatic biliary obstruction due to stricture at the lower end of the common bile duct. Cholestasis persisted inspite of effective biliary drainage. He was operated for empyema of the gallbladder and histological examination showed the presence of cytomegalovirus inclusions in the wall of the gallbladder. The patient died inspite of aggressive management; autopsy examination of the liver revealed evidence of FCH-like changes.
authors.affiliation: Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh.
authors.forename: Ajay
authors.initials: A
authors.lastname: Duseja
authors.forename: Ritambhara
authors.initials: R
authors.lastname: Nada
authors.forename: Naveen
authors.initials: N
authors.lastname: Kalra
authors.forename: S K
authors.initials: SK
authors.lastname: Acharya
authors.forename: M
authors.initials: M
authors.lastname: Minz
authors.forename: K
authors.initials: K
authors.lastname: Joshi
authors.forename: Yogesh
authors.initials: Y
authors.lastname: Chawla
mesh_terms: D001344:Autopsy; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002780:Cholestasis, Intrahepatic / Q000473:pathology*; D017809:Fatal Outcome; D005355:Fibrosis; D006509:Hepatitis B / Q000473:pathology; D006526:Hepatitis C / Q000473:pathology; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D013577:Syndrome