Bile cast nephropathy

A 55-year-old man with a history of colorectal cancer, status-post wedge resection of liver 3 weeks prior, was admitted with jaundice, ascites, and acute kidney injury. On presentation, he was icteric with a soft distended abdomen and mild ascites. Laboratory data revealed a creatinine level of 2.72 mg/dl (baseline 1 mg/dl). Total and direct bilirubin levels on admission were 42.5 mg/dl (up from 1.6 mg/dl) and 25 mg/dl, respectively. Numerous...