AI Article Synopsis
- - A 54-year-old man with severe alcoholic liver cirrhosis experienced acute cholangitis without significant liver lesions or risky varices initially.
- - In just 40 days, hepatic peribiliary cysts developed along the intrahepatic portal vein, alongside the rapid growth of esophageal varices marked by a red color sign.
- - The patient ultimately died from a rupture caused by the rapid progression of these esophageal varices, illustrating that while HPBCs are typically benign, they can contribute to severe complications in cirrhosis.
Article Abstract
A 54-year-old man with decompensated alcoholic liver cirrhosis presented with acute cholangitis. Although no localized lesions were detected in the liver on contrast-enhanced computed tomography and no risky varices were noted on endoscopy, hepatic peribiliary cysts (HPBCs) developed along the intrahepatic portal vein in the course of only 40 days. Moreover, esophageal varices with the red color sign grew rapidly during the same period, and the patient ultimately died due to rupture. HPBC formation is a rare complication of liver disease, including cirrhosis. Although HPBCs are generally harmless, on rare occasions they may induce the rapid progression of esophageal varices.
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| http://dx.doi.org/10.2169/internalmedicine.54.3372 | DOI Listing |
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