Korean Journal of Radiology

  • 제13권3호
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  • Pages.358-362
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  • 2012
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

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

  • Kwon, O-Nyoung (Department of Radiology, Daegu Fatima Hospital) ;
  • Cho, Seung-Hyun (Department of Radiology, Kyungpook National University School of Medicine) ;
  • Park, Chang-Keun (Department of Internal Medicine, Daegu Fatima Hospital) ;
  • Mun, Sung-Hee (Department of Radiology, Catholic University of Daegu School of Medicine)
  • 발행 : 2012.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Gelbmann CM, Rümmele P, Wimmer M, Hofstädter F, Göhlmann B, Endlicher E, et al. Ischemic-like cholangiopathy with secondary sclerosing cholangitis in critically ill patients. Am J Gastroenterol 2007;102:1221-1229 https://doi.org/10.1111/j.1572-0241.2007.01118.x
  2. Scheppach W, Druge G, Wittenberg G, Mueller JG, Gassel AM, Gassel HJ, et al. Sclerosing cholangitis and liver cirrhosis after extrabiliary infections: report on three cases. Crit Care Med 2001;29:438-441 https://doi.org/10.1097/00003246-200102000-00042
  3. Benninger J, Grobholz R, Oeztuerk Y, Antoni CH, Hahn EG, Singer MV, et al. Sclerosing cholangitis following severe trauma: description of a remarkable disease entity with emphasis on possible pathophysiologic mechanisms. World J Gastroenterol 2005;11:4199-4205 https://doi.org/10.3748/wjg.v11.i27.4199
  4. Jaeger C, Mayer G, Henrich R, Gossner L, Rabenstein T, May A, et al. Secondary sclerosing cholangitis after long-term treatment in an intensive care unit: clinical presentation, endoscopic findings, treatment, and follow-up. Endoscopy 2006;38:730-734 https://doi.org/10.1055/s-2006-925241
  5. Parry SD, Muiesan P. Cholangiopathy and the biliary cast syndrome. Eur J Gastroenterol Hepatol 2003;15:341-343 https://doi.org/10.1097/00042737-200304000-00001
  6. Gleeson FC, Czaja AJ, Baron TH. Successful endoscopic management of biliary cast syndrome in nonliver transplant patients. J Clin Gastroenterol 2008;42:752-755 https://doi.org/10.1097/01.mcg.0000225626.76544.67
  7. Ruemmele P, Hofstaedter F, Gelbmann CM. Secondary sclerosing cholangitis. Nat Rev Gastroenterol Hepatol 2009;6:287-295 https://doi.org/10.1038/nrgastro.2009.46
  8. Zimmer V, Raedle J, Treiber G, Lammert F. Biliary cast syndrome in sclerosing cholangitis. Dig Liver Dis 2011;43:e4 https://doi.org/10.1016/j.dld.2010.01.012
  9. Katsinelos P, Kountouras J, Chatzimavroudis G, Zavos C, Pilpilidis I, Paroutoglou G. Combined endoscopic and ursodeoxycholic acid treatment of biliary cast syndrome in a non-transplant patient. World J Gastroenterol 2008;14:5223- 5225 https://doi.org/10.3748/wjg.14.5223
  10. Esposito I, Kubisova A, Stiehl A, Kulaksiz H, Schirmacher P. Secondary sclerosing cholangitis after intensive care unit treatment: clues to the histopathological differential diagnosis. Virchows Arch 2008;453:339-345 https://doi.org/10.1007/s00428-008-0654-1

피인용 문헌

  1. Sclerosing cholangitis in critically ill patients: an important and easily ignored problem based on a German experience vol.8, pp.1, 2012, https://doi.org/10.1007/s11684-014-0306-6
  2. Secondary Sclerosing Cholangitis in Critically Ill Patients: Clinical Presentation, Cholangiographic Features, Natural History, and Outcome : A Series of 16 Cases vol.94, pp.49, 2012, https://doi.org/10.1097/md.0000000000002188
  3. Secondary sclerosing cholangitis following extracorporeal membrane oxygenation for acute respiratory distress in polytrauma vol.6, pp.9, 2018, https://doi.org/10.1002/ccr3.1660
  4. Secondary Sclerosing Cholangitis in Critically Ill Patients: An Underdiagnosed Entity vol.27, pp.2, 2020, https://doi.org/10.1159/000501405
  5. Imaging Changes and Clinical Complications After Drug-Eluting Bead Versus Conventional Transarterial Chemoembolization for Unresectable Hepatocellular Carcinoma: Multicenter Study vol.217, pp.4, 2021, https://doi.org/10.2214/ajr.20.24708