A 45 years old male presented with recurrent attacks of cholangitis. MRCP and ERCP findings are given below. What is the treatment of choice for this condition?: (A) ERCP with stenting, (B) High dose ursodeoxycholic acid, (C) High dose prednisolone, (D) Liver transplantation
Answer is D. Primary sclerosing cholangitis. More common in males Smoking is protective Associated with ulcerative colitis. IOC - MRCP Gold standard - ERCP TOC is liver transplantation | if not available High dose ursodeoxycholic acid (to control inflammation).