case_images: PMC5253495_01
case_images: Cholangiogram demonstrating filling defects representative of biliary stones (arrows) present in the common bile duct.
case_images: CRIT2017-9096435.001.jpg
case_images: PMC5253495_01_CRIT2017-9096435.001.jpg
case_images: fig1
case_images: Magnetic resonance cholangiopancreatography and cholangiogram revealed biliary obstruction, with intrahepatic biliary duct dilatation, due to the presence of biliary stones in the main bile duct and near the biliary-enteric anastomosis (Figure 1).
case_images: Serum bilirubin, creatinine, and tacrolimus concentrations and total daily tacrolimus dosage throughout patient admission.
case_images: CRIT2017-9096435.002.jpg
case_images: PMC5253495_01_CRIT2017-9096435.002.jpg
case_images: fig2
case_images: On admission day 2, her serum creatinine and trough blood tacrolimus concentrations rose markedly to 2.77 mg/dL and 45 ng/mL, respectively, in the absence of any new medications apart from her antibiotics (Figure 2).