Abstract
We report a case of biliary pseudolithiasis caused by ceftriaxone in a 54-year-old woman undergoing hemodialysis. She was admitted with diverculitis, and ceftriaxone was given. After 13 days, she complained of right hypochondriac pain with elevated liver enzyme levels. CT revealed high density structures in the gallbladder and common bile duct, which were not detected at admission. Endoscopic biliary drainage was performed, and these structures disappeared 33 days after admission. Biliary pseudolithiasis has been reported to disappear a short time after discontinuing ceftriaxone. However, biliary drainage is recommended in cases of biliary obstruction.
