[Obstructive jaundice due to biliary cast syndrome followed by orthotopic liver transplantation].
Biliary complication occurs in 6-34% of all liver transplant patients. Although bile leaks and strictures are relatively common, other biliary complications such as T-tube leak, choledocholithiasis, and biliary cast syndrome can also be observed. The biliary cast syndrome describes the presence of casts causing obstruction with its resultant sequelae of biliary infection, hepatocyte damage secondary to bile stasis and ductal damage, all contributing to cholangiopathy. Because the exact timing of cast formation after orthotopic liver transplantation is not consistent, it is difficult to define the true incidence of biliary cast syndrome without long-term follow-up data. Proposed etiological mechanisms include acute cellular rejection, prolongation of cold ischemic time, infection, biliary drainage tubes, and biliary obstruction. The diagnosis of biliary cast syndrome is usually confirmed by endoscopic retrograde cholangiopancreatography. There have been few published articles about biliary casts in Korea. Herein, we report a case of biliary cast syndrome followed by orthotopic liver transplantation.
Bak
Sang Hyun
SH
Department of Internal Medicine, Hanyang University College of Medicine, Seongdong-gu, Seoul, Korea.
Choi
Ho Soon
HS
Yang
Sun Young
SY
Jun
Dae Won
DW
Han
Sung Hee
SH
Lee
Hang Lak
HL
Lee
Oh Young
OY
Yoon
Byung Chul
BC
Hahm
Jun Soo
JS
Lee
Min Ho
MH
Lee
Dong Hoo
DH
Kee
Choon Suhk
CS
D000328:Adult; D001649:Bile Duct Diseases / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013577:Syndrome