Korean J Gastrointest Endosc > Volume 35(4); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(4): 281-286.
간이식 후 담관 협착과 화농성 담관염이 동반된 담관 원주 증후군 1예
서정필ㆍ이인석ㆍ장재혁ㆍ권정현ㆍ허원행ㆍ배시현ㆍ최명규ㆍ정인식ㆍ김동구
가톨릭대학교 의과대학 내과학교실, *외과학교실
A Case of Biliary Cast Syndrome with a Biliary Stricture and Suppurative Cholangitis after Liver Transplantation
Jung Pil Suh, M.D., In Seok Lee, M.D., Jae Hyuck Chang, M.D., Jung Hyun Kwon, M.D., Won Haing Hur, M.D., Si Hyun Bae, M.D., Myung Gyu Choi, M.D., In Sik Chung, M.D. and Dong Goo Kim, M.D.*
Departments of Internal Medicine and *Surgery, Catholic University College of Medicine, Seoul, Korea
Abstract
Biliary complications after liver transplantation occur in 13∼35% of patients. Biliary cast syndrome, cast formation of biliary sludge along the bile duct, can develop in 4∼18% of liver transplant recipients, although the incidence rate is significantly decreasing due to the improvement of graft harvesting and preservation. It is very important that early diagnosis and effective management of biliary cast syndrome be performed when there is a bile duct stricture or dilatation associated with jaundice and cholangitis in the recipient after liver transplantation, due to the possibility of retransplantation and death of the patient from graft loss. We report a case of a biliary cast formed with suppurative cholangitis and extracted incidentally with a plastic biliary stent during an endoscopic procedure after cadaveric liver transplantation, in which the ERCP findings revealed a stricture at the anastomosis site of the common bile duct and cholangitis. (Korean J Gastrointest Endosc 2007;35:281-286)
Key Words: Biliary cast syndrome, Cholangitis, Biliary stricture, Liver transplantation
주요어: 담관 원주 증후군, 담관염, 담관 협착, 간이식
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