Percutaneous Transhepatic Cholangioscopy Utilizing Different Endoscopes to Optimize Treatment Success in Biliary Cast Syndrome, how a Paediatric Bronchoscope can Help: A Case Report

Biliary cast syndrome (BCS) is an uncommon complication after orthotopic liver transplantation (OLT), which can lead to serious clinical complications. Endoscopic removal of the biliary casts has gained popularity over the last years, especially following the latest technical advances in the field of cholangioscopy. Case report: We report a patient post liver transplant with hepaticojejunostomy (HJS) who underwent successful endoscopic removal of difficult to treat biliary cast via percutaneous access utilizing different endoscopes in a single session. Conclusion: Percutaneous single-operator cholangioscopy (pSOC) is a feasible and very useful method for diagnosing and treating patients with biliary cast syndrome, but in complex cases it requires high skill levels and different technical materials