A case of portal hypertensive cholangiopathy

VernacularTitle:门静脉高压性胆管病1例
Author: Ruling ZHANG ¹ ; Congying CHEN ¹ ; Li HUANG ¹ ; Min XU ¹ ; Lungen LU ¹ ; Xiaobo CAI ¹
Author Information

1. 上海交通大学医学院附属第一人民医院消化内科，上海 200080
Publication Type:Journal Article
Keywords: Portal hypertension; Extrahepatic portal vein obstruction; Biliary dilatation; Therapeutic
From: Chinese Journal of Hepatology 2025;33(11):1104-1106
CountryChina
Language:Chinese
Abstract: Portal hypertensive biliopathy is a secondary condition of intrahepatic and extrahepatic bile duct abnormalities caused by portal hypertension, especially in extrahepatic portal venous obstruction. Most patients may remain asymptomatic for a long time, while a few may present with symptomatic portal hypertensive biliopathy, such as obstructive jaundice, cholelithiasis with or without cholangitis, gastrointestinal bleeding, and others. Such disease is rare in clinical practice and is prone to misdiagnosis and missed diagnosis. Improper treatment can lead to serious adverse consequences. We report a case of unexpected discovery of bile duct dilation due to abdominal pain, which was ultimately diagnosed as portal hypertensive biliopathy based on the medical history, manifestations of portal hypertension, and imaging examinations, especially intraductal ultrasonography.