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abstractpubmed· Abstract 2017· item PMID:29234203

Cholemic or Bile Cast Nephropathy in a Child with Liver Failure. Cholemic or bile cast nephropathy is an under-reported entity characterized by acute renal dysfunction in patients with hepatic insult. Limited literature is available regarding its clinical presentation, pathogenesis and prognosis. We hereby present a pediatric case who presented with acute on chronic liver failure with renal dysfunction secondary to cholemic nephropathy.