Clin Endosc.  2013 Jan;46(1):98-101. 10.5946/ce.2013.46.1.98.

A Case of Biliary Cast Developed in a Patient with Long-Standing Biliary Sludge

Affiliations
  • 1Department of Gastroenterology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. krjoo@khu.ac.kr
  • 2Department of Pathology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

Abstract

Development of biliary casts is very unusual, especially in patients who have not undergone liver transplantation. Variable causes of biliary cast formation in nonliver transplantation patients have been suggested. However, stasis of bile flow and/or gallbladder hypocontractility is known to eventually result in the promotion of biliary sludge and subsequent cast formation. Here we present one case of biliary cast syndrome, which developed in a nonliver transplant patient who had biliary sludge for a long period of time, providing evidence that long-standing biliary sludge may lead to cast formation.

Keyword

Cast; Biliary tract; Sludge; Gallbladder; Nontransplant

MeSH Terms

Bile
Biliary Tract
Gallbladder
Humans
Liver Transplantation
Sewage
Superior Mesenteric Artery Syndrome
Transplants
Sewage
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