| Vascular biliopathy as a cause of common bile duct obstruction successfully treated by mesocaval shunt and endoscopic retrograde cholangiopancreatography biliary stent placement. | |
| | |
MedLine Citation:
|
PMID: 19344595 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Common bile duct stenosis owing to extrahepatic portal varices is termed "portal hypertensive biliopathy" (PHB) and is a rare occurrence. We report a case of PHB owing to portal vein thrombosis with cavernous transformation successfully managed by mesocaval shunt and endoscopic retrograde cholangiopancreatography (ERCP) biliary stent placement. A 44-year-old male, who presented with hematemesis, melena, jaundice, and abdominal pain, underwent gastroscopy, which revealed bleeding gastric varices. Computed tomography with arterial and venous imaging demonstrated portal vein thrombosis with cavernous transformation and extensive extrahepatic varices within the porta hepatis causing common bile duct obstruction from extrinsic compression. Biliary decompression was achieved with ERCP, and a small common bile duct stone was retrieved. A mesocaval shunt with a 16 mm Dacron graft successfully treated the portal hypertension. PHB is rare. We report a case successfully treated by mesocaval shunt and ERCP. |
| | |
Authors:
|
Martin D Rosenthal; Geoffrey H White; Michael S Stephen; James J Gallagher; Charbel Sandroussi |
Related Documents
:
|
2983375 - Hepatoma, arterioportal shunting, and hyperkinetic portal hypertension: therapeutic emb... 12819875 - Primary permanent arterialization of the portal vein in liver transplantation. 8260435 - Portal hypertension, variceal bleeding, and high output cardiac failure secondary to an... 21990475 - External carotid artery embolus with internal carotid artery occlusion with acute ische... 20465905 - Posterior circulation stroke following embolization of glomus tympanicum?relevance of a... 22977455 - Polyarteritis nodosa complicated by chronic total occlusion accompanying aneurysms on a... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Vascular Volume: 16 ISSN: 1708-5381 ISO Abbreviation: Vascular Publication Date: 2008 Nov-Dec |
Date Detail:
|
Created Date: 2009-04-06 Completed Date: 2009-09-17 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101196722 Medline TA: Vascular Country: Canada |
Other Details:
|
Languages: eng Pagination: 356-8 Citation Subset: IM |
Affiliation:
|
Mercer University School of Medicine, Macon, GA 30312, USA. MDrosey@aol.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Blood Vessel Prosthesis Implantation Cholangiopancreatography, Endoscopic Retrograde Cholestasis, Extrahepatic / etiology*, radiography, surgery Common Bile Duct / radiography, surgery Humans Hypertension, Portal / complications*, radiography, surgery Male Portal Vein* / radiography Stents* Tomography, X-Ray Computed Varicose Veins / complications*, radiography, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Diagnosis and management of traumatic pseudoaneurysm of the carotid artery: case report and review o...
Next Document: Prospective, randomized, single-blinded study comparing the use of a flexible nasendoscope and a rig...