title: [Ischemic cholangiopathy induced by extended burns].
abstract: Ischemic cholangiopathy is a recently described entity occurring mainly after hepatic grafts. Very few cases after intensive care unit (ICU) for extended burn injury were reported. We report the case of a 73-year-old woman consulting in an hepatology unit, for a jaundice appearing during a hospitalisation in an intensive care unit and increasing from her leaving from ICU, where she was treated for an extended burn injury. She had no pre-existing biological features of biliary disease. Biological tests were normal. Magnetic resonance imaging acquisitions of biliary tracts pointed out severe stenosing lesions of diffuse cholangiopathy concerning intrahepatic biliary tract, mainly peri-hilar. Biopsie from the liver confirmed the diagnosis, showing a biliary cirrhosis with bile infarcts. This case is the fourth case of ischemic cholangiopathy after extended burn injury, concerning a patient without a prior history of hepatic or biliary illness and appearing after hospitalisation in intensive care unit.
authors.affiliation: Service d'anatomie et de cytologie pathologiques, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.
authors.forename: Laurence
authors.initials: L
authors.lastname: Cohen
authors.forename: Emilie
authors.initials: E
authors.lastname: Angot
authors.forename: Odile
authors.initials: O
authors.lastname: Goria
authors.forename: Edith
authors.initials: E
authors.lastname: Koning
authors.forename: Arnaud
authors.initials: A
authors.lastname: François
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Sabourin
mesh_terms: D000368:Aged; D001649:Bile Duct Diseases / Q000209:etiology* / Q000473:pathology; D001652:Bile Ducts / Q000098:blood supply*; D002056:Burns / Q000150:complications*; D005260:Female; D006801:Humans; D007238:Infarction / Q000473:pathology; D007362:Intensive Care Units; D007511:Ischemia / Q000209:etiology* / Q000473:pathology; D007565:Jaundice / Q000209:etiology / Q000473:pathology; D008105:Liver Cirrhosis, Biliary / Q000209:etiology / Q000473:pathology; D008279:Magnetic Resonance Imaging