Refaey Abdelrhman, Attia Ahmed, Ebeid Ahmed, Gray Stephen, Abutaleb Ameer
Internal Medicine, Transplant Institute, George Washington University School of Medicine and Health Sciences, Washington DC, USA.
Internal Medicine, Holy Name Medical Center, Teaneck NJ, USA.
Cureus. 2025 Jun 12;17(6):e85883. doi: 10.7759/cureus.85883. eCollection 2025 Jun.
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.
胆泥综合征（BCS）是原位肝移植（OLT）后一种罕见的并发症，其特征是在胆道系统内形成胆泥。我们报告一例48岁女性患者，在移植后9周发生了BCS。该患者出现了多种并发症，包括胆汁瘤形成、复发性贫血和感染性休克。内镜逆行胰胆管造影（ERCP）显示广泛的胆泥，使用SpyBite网篮（美国马萨诸塞州马尔伯勒市波士顿科学公司）部分取出。本病例突出了肝移植一种罕见但严重的并发症。早期识别和积极治疗对于改善BCS肝移植受者的预后至关重要。
