Primary Sclerosing Cholangitis In A Patient With Ankylosing Spondylitis And Ulcerative Colitis Successfully Treated With Adalimumab - A Five Year Follow-Up - Case Report

Hanna Przepiera-Bedzak, Piotr Milkiewicz, Andrzej Bialek, Marek Brzosko

We report a five year follow-up of primary sclerosing cholangitis (PSC) in a 29-year-old man with ankylosing spondylitis (AS) and ulcerative colitis (UC). According to our knowledge, this is the first case report of such coexistence. Endoscopic retrograde cholangiopancreatography (ERCP) and the magnetic resonance cholangiopancreatography (MRCP) confirmed PSC. The sphincterotomy was performed and stent to the common bile duct was inserted. Because of the high activity of AS, treatment with adalimumab was started.