title: Biliary cast formation with sclerosing cholangitis in critically ill patient: case report and literature review.
abstract: 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.
authors.affiliation: Department of Radiology, Daegu Fatima Hospital, Daegu 701-600, Korea.
authors.forename: O-nyoung
authors.initials: ON
authors.lastname: Kwon
authors.forename: Seung Hyun
authors.initials: SH
authors.lastname: Cho
authors.forename: Chang Keun
authors.initials: CK
authors.lastname: Park
authors.forename: Sung Hee
authors.initials: SH
authors.lastname: Mun
mesh_terms: D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D015209:Cholangitis, Sclerosing / Q000175:diagnosis* / Q000188:drug therapy; D003287:Contrast Media; D016638:Critical Illness; D018549:Cryptogenic Organizing Pneumonia / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008111:Liver Function Tests; D008297:Male; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media