| Summary: | Biliary cast syndrome is an unusual complication in patients who have previously undergone
liver transplantation. It occurs in approximately 5%–18% of such patients. Rare cases of biliary
cast syndrome in patients without liver transplants have also been reported. The pathogenesis
of biliary cast has not been clearly identified, although etiologic factors including post-transplant
bile duct damage, ischemia, biliary infection, and presence of a post-operative biliary
drainage tube have been proposed. Here we present a case of biliary cast that developed in a
49-year-old male who underwent a non-liver surgery after endoscopic and percutaneous management
of common bile duct stone.
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