Primary sclerosing cholangitis is a complication of IBD, present especially in patients affected by UC with an incidence between 1% and 4% and with lower frequency in Crohn's disease . Patients with IBD and abnormal liver function test need to be evaluated for hepatobiliary complications. Depending on local availability, MR cholangiography or endoscop-ic retrograde cholangiopancreatography should be performed as the initial diagnostic test in the suspicion of sclerosing cholangitis. The latter procedure is indicated as the procedure of choice when biliary stenosis is suspected or evident.
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