Document Detail


Common bile duct wall thickening due to intramural varices diagnosed by colour Doppler ultrasound.
MedLine Citation:
PMID:  16596516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cases of common bile duct (CBD) wall thickening due to varicose dilation of intramural veins consequential to portal vein thrombosis (PVT) are rare and present a considerable differential diagnostic problem, as they can mimic cholangiocarcinoma. In such cases, colour Doppler ultrasound (CD US) is a very valuable diagnostic method. There are only a few reports in literature on CD US findings of collateral circulation in a thickened CBD wall following PVT. A patient with obstructive jaundice, a tumour of the pancreatic head, CBD wall thickening, and pre-existing PVT is presented. CD US demonstrated collateral circulation of the thrombosed portal vein in the thickened wall of the common bile duct, thus ruling out a mass in the CBD. Obstructive jaundice seldom occurs with choledocal varices. In this patient, the bile duct obstruction was due to the carcinoma of the pancreatic head.
Authors:
I Grgurević; M Buljevac; M Kujundzić; M Vukelić-Marković; D Kardum; B Brkljacić
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-02-24
Journal Detail:
Title:  Ultraschall in der Medizin (Stuttgart, Germany : 1980)     Volume:  27     ISSN:  0172-4614     ISO Abbreviation:  Ultraschall Med     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-11     Completed Date:  2007-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303585     Medline TA:  Ultraschall Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  483-6     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Division of Gastroenterology, University Hospital Dubrava, Avenija G. Suska 6, 10000 Zagreb, Croatia. ivica.grgurevic@zg.htnet.hr
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MeSH Terms
Descriptor/Qualifier:
Common Bile Duct / blood supply*,  pathology*,  ultrasonography
Humans
Male
Middle Aged
Pancreatic Neoplasms / ultrasonography*
Thrombosis / etiology,  ultrasonography*
Ultrasonography, Doppler, Color*
Varicose Veins / etiology,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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