Benfield, JohnShah, Raj A.Grider, Douglas J.Sahebjam, Farhad2022-06-162022-06-162022-05e00776http://hdl.handle.net/10919/110803Vanishing bile duct syndrome (VBDS) refers to a form of cholestatic liver disease with many etiologies. Vanishing bile duct syndrome is characterized by biliary ductopenia and chronic cholestasis. This is a challenging condition for clinicians because of its rarity and unclear pathophysiology. Presented is an 18-year-old woman who developed cholestatic liver injury and intrahepatic biliary ductopenia after a course of oral contraceptives and intravenous estrogen for uterine bleeding. A year later, this patient did not have significant improvement in liver biomarkers and was referred for transplantation.application/pdfenCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalinduced cholestasisdruginhibitionArticle - Refereedhttps://doi.org/10.14309/crj.0000000000000776952326-3253