AI Article Synopsis
- Portal hypertensive biliopathy occurs due to issues in the biliary tract from portal hypertension, often linked to extrahepatic portal vein obstruction, with most patients being asymptomatic.
- A case study is presented where a patient experienced complications from cavernous transformation of the portal vein, leading to recurrent cholangitis, common bile duct stones, and stricture.
- The treatment included endoscopic retrograde cholangiopancreatography, surgery, and a transvenous intrahepatic portosystemic shunt, ultimately finding that recurrent plastic stent insertion was the most effective management option.
Article Abstract
Portal hypertensive biliopathy is characterized by abnormalities in the biliary tract secondary to portal hypertension, especially extrahepatic portal vein obstruction. Most patients are asymptomatic; only about 20% have clinical symptoms. We herein report a case of portal hypertensive biliopathy caused by cavernous transformation of the portal vein with the development of recurrent cholangitis with common bile duct stones and stricture. This patient underwent endoscopic retrograde cholangiopancreatography, a surgical operation, and a transvenous intrahepatic portosystemic shunt procedure during the whole clinical process. Finally, we found the recurrent plastic stent insertion at endoscopic retrograde cholangiopancreatography was the best option for him at present. In addition, we also discussed the diagnosis and management of this disease.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132790 | PMC |
| http://dx.doi.org/10.1177/0300060520914834 | DOI Listing |
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