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A Rare Case of Biliary Cast Syndrome After Orthotopic Liver Transplantation

Year: 2025

Type: article

Abstract: Biliary cast syndrome (BCS) is a rare complication following orthotopic liver transplantation (OLT), characterized by the formation of casts within the biliary system. We present the case of a 48-year-old woman who developed BCS nine weeks post-transplant. The patient experienced multiple complications, including biloma formation, recurrent anemia, and septic shock. Endoscopic retrograde cholangiopancreatography (ERCP) revealed extensive biliary casts, which were partially removed using a SpyBite basket (Boston Scientific, Marlborough, MA, USA). This case highlights a rare but serious complication of liver transplantation. Early recognition and aggressive treatment are crucial for improving outcomes in liver transplant recipients with BCS.

Source: Cureus

DOI: 10.7759/cureus.85883

Authors: Abdelrhman Refaey, Ahmed Attia, Ahmed Ebeid, Stephen Gray, Ameer Abutaleb

Institutions: Holy Name Medical Center, George Washington University, Howard University Hospital

Language: English

Topic: Organ Transplantation Techniques and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411295637