Cast an eye on this biliary obstruction

It was blocking her bile ducts

First, we brought you a bloody, yet strangely beautiful, bronchial cast; now, we’re branching into the bile ducts.

Biliary cast

This greener, slightly slimier example was discovered during a woman’s second liver transplant.

The 62-year-old, who had undergone her first transplant three months earlier, presented to an ED with a two-month history of jaundice.

Her total bilirubin level was 245umol/L (normal range: 3.4-20.5), serum alanine

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