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A case of biliary cast developed in a patient with long-standing biliary sludge.

Abstract
Development of biliary casts is very unusual, especially in patients who have not undergone liver transplantation. Variable causes of biliary cast formation in nonliver transplantation patients have been suggested. However, stasis of bile flow and/or gallbladder hypocontractility is known to eventually result in the promotion of biliary sludge and subsequent cast formation. Here we present one case of biliary cast syndrome, which developed in a nonliver transplant patient who had biliary sludge for a long period of time, providing evidence that long-standing biliary sludge may lead to cast formation.
AuthorsJa Won Koo, Na Eun Jang, Hong Joo Lee, Kwang Ro Joo, Jae Myung Cha, Hyun Phil Shin, Joung Il Lee, Sung-Jig Lim
JournalClinical endoscopy (Clin Endosc) Vol. 46 Issue 1 Pg. 98-101 (Jan 2013) ISSN: 2234-2400 [Print] Korea (South)
PMID23423962 (Publication Type: Journal Article)

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