Serum bilirubin and albumin are recognised clinical correlates of liver cirrhosis, and their predictive value in forecasting clinical outcomes in PSC is well described.49 These findings were validated in the present study, in addition to recurrent ascending cholangitis, elevated serum aspartate transaminase (AST) and the presence of liver cirrhosis being identified as further prognostic factors. Here, ALB is linked to pancreatic serous cystadenoma.