A Case of Obstructive Jaundice Caused by Cavernous Transformation of the Portal Vein.
- Author:
Sang Hun SONG
1
;
Ki Hyun SEO
;
Jae Han KIM
;
Myoung Jin OH
;
Heon Gyen HWANG
;
Wan Sup KIM
;
Young Min KIM
;
Jong Ho MOON
;
Young Deok CHO
;
Kyung Yul HUR
;
Cheol MOON
;
Dong Erk KOO
;
Hae Kyung LEE
;
Chan Sup SHIM
Author Information
1. Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Obstructive jaundice;
Cavernous transformation;
Portal vein;
Collateral vessels
- MeSH:
Adult;
Biliary Tract;
Congenital Abnormalities;
Diagnosis;
Hemorrhage;
Humans;
Jaundice;
Jaundice, Obstructive*;
Liver Cirrhosis;
Pancreatitis;
Portal Vein*;
Veins;
Venous Thrombosis
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(6):999-1004
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cavernous transformation of the portal vein is a rare condition probably arising secondary to extrahepatic portal vein thrombosis or obstruction with recannalization and/or collateral veins formation to bypass the obstruction. It is believed that cavernous transformation of the portal vein is caused by a variety of diseases associated with periportal collateral development and hepatopedal flow. It is known that portal vein occlusion, which is the actual cause of cavernous transformation, has a wide variety of etiologies, such as congenital abnormalities, omphalitis, pancreatitis, various carcinoma, and liver cirrhosis. In most cases, the revealing symptom is upper gastrointestinal bleeding. Rarely, however, diagnosis is made from obstructive jaundice. Extensive collateral veins due to portal vein occlusion may compress and narrow the biliary tract. A 39-year-old man was admitted due to jaundice and abdominal discomfort for 1 month. He was confirmed to have obstructive jaundice due to collateral vessels of cavernous transformation of the portal vein. We report a case of obstructive jaundice caused by cavernous transformation of the portal vein.
