Year 2023 / Volume 115 / Number 11
Digestive Diseases Image
Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

648-649

DOI: 10.17235/reed.2022.9218/2022

Fateh Bazerbachi, Luis Alejandro Servin-Abad, Najib Nassani, Klaus Mönkemüller,

Abstract
A 56-year-old female developed deep jaundice months after struggling with critical illness due to COVID-19, requiring hemodialysis and tracheostomy. Lab tests included alkaline phosphatase 1,574 U/l, total bilirubin 11 mg/dl, alanine transaminase (ALT) 88 U/l and aspartate aminotransferase (AST) 101 U/l. Baseline liver tests were normal before illness. Anti-nuclear antibodies (ANA), IgG4 level and viral hepatitis were negaCritical illness cholangiopathy resulted in secondary sclerosing cholangitis. In this case, it is unclear whether the patient suffered these changes as a direct cause of COVID-19 or as a result of critical illness cholangiopathy. The overall prognosis is guarded given its progressive nature and likely need for liver transplantation.tive.
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References
Roth, NC; Kim A; Vitkovski T et al. Post-COVID 19 Cholangiopathy: A Novel Entity. Am J Gastroenterol 2021; 116: 1077-1082 doi: 10.14309/ajg.0000000000001154.
Weaver M; McHendry S; Das KK. COVID-19 and Jaundice. Gastroenterology 2021;160:e1-e3. doi: 10.1053/j.gastro.2020.10.006.
Durazo, FA; Nicholas AA; Mahaffey JJ et al. Post-Covid 19 Cholangiopathy-A new novel indication for Liver Transplantation: A case report. doi: 10.1016/j.transproceed.2021.03.007.
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Bazerbachi F, Servin-Abad L, Nassani N, Mönkemüller K. Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy . 9218/2022


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Publication history

Received: 19/09/2022

Accepted: 28/09/2022

Online First: 07/10/2022

Published: 13/11/2023

Article Online First time: 18 days

Article editing time: 420 days


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