肝移植受者晚期胆泥综合征的成功内镜治疗：一例报告

Mahler Manuel Alejandro, Marcaccio Federico, Dumonceau Jean-Marc, Macías Gómez Carlos

aGastroenterology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

bGedyt Endoscopy Center, Buenos Aires, Argentina.

Case Rep Gastroenterol. 2017 Apr 10;11(1):207-211. doi: 10.1159/000468509. eCollection 2017 Jan-Apr.

Biliary cast syndrome (BCS) is an unusual complication of liver transplantation (LT). The pathophysiology is not known, and it is thought to develop because of mucosal damage in the bile duct related to obstruction, ischemia, or bacterial infection. It occurs in 2.5-18% of LT patients and is associated with increased graft failure, need for retransplantation, and mortality. Here we report on a case of BCS of late appearance after LT who was successfully treated by endoscopic means.

胆泥综合征（BCS）是肝移植（LT）的一种罕见并发症。其病理生理机制尚不清楚，据认为是由于胆管黏膜因梗阻、缺血或细菌感染而受损所致。它在2.5%至18%的肝移植患者中出现，并与移植失败率增加、再次移植需求及死亡率相关。在此，我们报告一例肝移植术后晚期出现胆泥综合征且经内镜手段成功治疗的病例。