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http://dx.doi.org/10.3348/kjr.2012.13.3.358

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)
Publication Information
Korean Journal of Radiology / v.13, no.3, 2012 , pp. 358-362 More about this Journal
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.
Keywords
Sclerosing cholangitis; Biliary cast formation; Sclerosing cholangitis in critically ill patients; CT; Magnetic resonance cholangiopancreatography;
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