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CASE REPORT article

Front. Med.
Sec. Hepatobiliary Diseases
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1525442
This article is part of the Research Topic Case Reports in Hepatobiliary Diseases View all 13 articles

Case report: complete casts formation of entire intrahepatic biliary tree

Provisionally accepted
  • Shenzhen Third People’s Hospital, Shenzhen, China

The final, formatted version of the article will be published soon.

    Biliary complications pose substantial challenges in liver transplantation (LT), particularly with regard to nonanastomotic strictures (NAS). Among these ischemic-type biliary complications, bile cast syndrome (BCS) is a particularly severe condition. Currently, there is limited data on the formation of complete hepatic casts in BCS. In this case report, we present a unique instance of a second LT involving the formation of a complete hepatic bile cast and discuss its diagnostic and therapeutic process. This case aims to enhance the understanding of the anatomical and pathological features of BCS.

    Keywords: AS, anastomotic stenosis, BCS, bile cast syndrome, CT, computed tomography, ERC, endoscopic retrograde cholangiography, HBV, hepatitis B virus, HCV, hepatitis C virus, LT, liver transplantation, MRCP, magnetic resonance cholangiopancreatography

    Received: 09 Nov 2024; Accepted: 27 Jan 2025.

    Copyright: © 2025 Wang, Zhong and Zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Dong Zhao, Shenzhen Third People’s Hospital, Shenzhen, China

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