Biliary cast syndrome (BCS) complicates up to one in six patients post-orthotopic liver transplant (OLT). Management of BCS is challenging with limited success using endoscopic retrograde cholangiopancreatography (ERCP) or open exploration to clear the casts with some patients requiring re-transplantation. We present a case of BCS in a patient who suffered from vascular complications at the time of OLT rendering him a non-candidate for repeat liver transplantation in addition to increasing risk for ischemic insult and biliary strictures, and the challenges faced in his care.
Published In/Presented At
Shah, M. Puri, R. Maludum, O. Patnaik, S. Lu, M. (2016). Biliary Cast Syndrome Following Liver Transplantation: A Challenging Case. Journal of Medical Cases. 7(5), 158-160. doi.org/10.14740/jmc2467w.
Medical Sciences | Medicine and Health Sciences
Department of Medicine, Cardiology Division, Department of Medicine Fellows and Residents