Portal biliopathy treated with endoscopic biliary stenting.
10.3350/cmh.2016.22.1.172
- Author:
Sung Jin JEON
1
;
Jae Ki MIN
;
So Young KWON
;
Jun Hyun KIM
;
Sun Young MOON
;
Kang Hoon LEE
;
Jeong Han KIM
;
Won Hyeok CHOE
;
Young Koog CHEON
;
Tae Hyung KIM
;
Hee Sun PARK
Author Information
1. Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea. sykwonmd@hotmail.com
- Publication Type:Case Reports
- Keywords:
Bile duct obstruction;
Portal hypertension;
Endoscopic retrograde cholangiopancreatography;
Biliary stent
- MeSH:
Abdomen/diagnostic imaging;
Cholangiopancreatography, Endoscopic Retrograde;
Cholestasis/*diagnosis;
Humans;
Hypertension, Portal/*diagnosis;
Male;
Middle Aged;
Portal Vein;
*Stents;
Tomography, X-Ray Computed
- From:Clinical and Molecular Hepatology
2016;22(1):172-176
- CountryRepublic of Korea
- Language:English
-
Abstract:
Portal biliopathy is defined as abnormalities in the extra- and intrahepatic ducts and gallbladder of patients with portal hypertension. This condition is associated with extrahepatic venous obstruction and dilatation of the venous plexus of the common bile duct, resulting in mural irregularities and compression of the biliary tree. Most patients with portal biliopathy remain asymptomatic, but approximately 10% of them advance to symptomatic abdominal pain, jaundice, and fever. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography are currently used as diagnostic tools because they are noninvasive and can be used to assess the regularity, length, and degree of bile duct narrowing. Management of portal biliopathy is aimed at biliary decompression and reducing the portal pressure. Portal biliopathy has rarely been reported in Korea. We present a symptomatic case of portal biliopathy that was complicated by cholangitis and successfully treated with biliary endoscopic procedures.
