Korean J Radiol.  2012 Jun;13(3):358-362. 10.3348/kjr.2012.13.3.358.

Biliary Cast Formation with Sclerosing Cholangitis in Critically Ill Patient: Case Report and Literature Review

Affiliations
  • 1Department of Radiology, Daegu Fatima Hospital, Daegu 701-600, Korea.
  • 2Department of Radiology, Kyungpook National University, School of Medicine, Daegu 700-422, Korea. shcho2405@gmail.com
  • 3Department of Internal Medicine, Daegu Fatima Hospital, Daegu 701-600, Korea.
  • 4Department of Radiology, Catholic University of Daegu, School of Medicine, Daegu 705-718, Korea.

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.

Keyword

Sclerosing cholangitis; Biliary cast formation; Sclerosing cholangitis in critically ill patients; CT; Magnetic resonance cholangiopancreatography
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