"Billiary-cast" syndrome in a patient with acute biliary pancreatitis and pulmonary embolism.
 
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General surgery №1, O.O. Bogomolets National Medical University, Ukraine
 
 
Submission date: 2024-02-27
 
 
Acceptance date: 2024-10-08
 
 
Publication date: 2024-12-30
 
 
Corresponding author
Vladyslav Makarov   

General surgery №1, O.O. Bogomolets National Medical University, Kyiv, Ukraine
 
 
Wiadomości Lekarskie 2024;77(12):2559-2562
 
KEYWORDS
TOPICS
surgery
 
ABSTRACT
Aim:
To report a case of "Biliary-cast" syndrome in a patient without previous medical history of liver transplantation

Material and methods:
Medical files of a patient were studied and documented. A literature review based on available data on "pubmed.ncbi.nlm.nih.gov" was performed.

Case report:
The given paper describes a case of treating "Biliary - Cast Syndrome" in a patient with acute biliary pancreatitis and pulmonary embolism. "BCS" is most often encoutered in clinical pratice as a complication of liver transplantation. There are singular cases of "BCS" in patient without history of liver transplantation presented in literature. In our case post-operative period of endoscopic papilosphincterotomy for acute biliary pancreatitis was complicated by pulmonary embolism with further development of BCS and cholangiogenic absceses.

Summary:
The problem of “Biliary-cast” syndrome remains insufficiently studied, now this syndrome occurs less and less often as a complication after liver transplantation due to the evolution of surgical technique. The occurrence of “Biliary-cast” syndrome without liver transplantation is represented by isolated cases in the world literature, often in severe, comorbid patients.
REFERENCES (10)
1.
Gor NV, Levy RM, Ahn J, Kogan D, Dodson SF, Cohen SM. Biliary cast syndrome following liver transplantation: Predictive factors and clinical outcomes. Liver Transpl. 2008 Oct; 14(10):1466-72. doi: 10.1002/lt.21492. PMID: 18825683.
 
2.
Zhu XD, Shen ZY, Chen XG, Zang YJ. Pathotyping and clinical manifestations of biliary cast syndrome in patients after an orthotopic liver transplant. Exp Clin Transplant. 2013 Apr; 11(2):142-9. doi: 10.6002/ect.2012.0035. Epub 2012 Nov 21. PMID: 23190361.
 
3.
Lemmers, A., Pezzullo, M., Hadefi, A., Dept, S., Germanova, D., Gustot, T., Degré, D., Boon, N., Moreno, C., Blero, D., Arvanitakis, M., Delhaye, M., Vandermeeren, A., Njimi, H., Devière, J., le Moine, O., & Lucidi, V. (2021). Biliary cast syndrome after liver transplantation: A cholangiographic evolution study. Journal of Gastroenterology and Hepatology (Australia), 36(5), 1366–1377. https://doi.org/10.1111/jgh.15....
 
4.
Kusnierz, K., Nowakowska-Dulawa, E., Pilch-Kowalczyk, J., & Lampe, P. (2012). Biliary cast syndrome in a non-transplant patient with acute pancreatitis. In Digestive and Liver Disease (Vol. 44, Issue 6, pp. 534–535). https://doi.org/10.1016/j.dld.....
 
5.
Park, J. C., & Park, J. G. (2021). A case of biliary cast syndrome after endoscopic and percutaneous management of common bile duct stone. Journal of the Korean Society of Radiology, 82. https://doi.org/10.3348/jksr.2....
 
6.
Yang, Y.-L., Zhang, C., Lin, M.-J., Shi, L.-J., Zhang, H.-W., Li, J.-Y., Yu Yu-Long Yang, Q., Yu, Q., & Bil, Y. Q. (2013). Biliary casts after liver transplantation: Morphology and biochemical analysis. World J Gastroenterol, 19(43), 7772–7777. https://doi.org/10.3748/wjg.v1....
 
7.
Voigtländer T, Negm AA, Strassburg CP, Lehner F, Manns MP, Lankisch TO. Biliary cast syndrome post-liver transplantation: risk factors and outcome. Liver Int. 2013 Sep; 33(8):1287-92. doi: 10.1111/liv.12181. Epub 2013 Apr 21. PMID: 23601581.
 
8.
Hu B, Horrow MM. Ultrasound of Biliary Cast Syndrome and Its Mimics. Ultrasound Q. 2016 Sep; 32(3):258-70. doi: 10.1097/RUQ.0000000000000196. PMID: 26561220.
 
9.
Shah JN, Haigh WG, Lee SP, Lucey MR, Brensinger CM,Kochman ML, et al. Biliary casts after orthotopic livertransplantation: clinical factors, treatment, biochemicalanalysis. Am J Gastroenterol 2003;98:1861-1867.
 
10.
Pfau PR, Kochman ML, Lewis JD, Long WB, Lucey MR,Olthoff K, et al. Endoscopic management of postoperativebiliary complications in orthotopic liver transplantation. Gastrointestinal Endoscopy 2000; 52:55-63.
 
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