Title |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction
|
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Published in |
GE-Portuguese Journal of Gastroenterology, March 2015
|
DOI | 10.1016/j.jpge.2015.01.003 |
Pubmed ID | |
Authors |
Ricardo Cardoso, Adriano Casela, Sandra Lopes, Cláudia Agostinho, Paulo Souto, Ernestina Camacho, Nuno Almeida, Sofia Mendes, Dário Gomes, Carlos Sofia |
Abstract |
Biliary obstruction is usually caused by choledocholithiasis. However, in some circumstances, alternative or concurring unusual ethiologies such as portal hypertensive biliopathy (PHB) must be considered. We present the case of a 36-year-old female complaining of jaundice and pruritus. Liver function tests were compatible with biliary obstruction and the ultrasound scan of the abdomen showed dilatation of the intrahepatic biliary ducts, a dilated common bile duct (CBD) and biliary calculi. The computed tomography of the abdomen revealed a portal cavernoma encasing the CBD. Portal cavernoma, the hallmark of extrahepatic portal venous obstruction, can cause PHB. When symptomatic, chronic cholestasis is present if a dominant stricture exists whereas biliary pain and acute cholangitis occur when choledocholithiasis prevails. Management must be individualized and usually includes endoscopic therapy to address choledocholithiasis and shunt surgery for definitive treatment. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 15 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 4 | 27% |
Student > Doctoral Student | 2 | 13% |
Other | 1 | 7% |
Student > Ph. D. Student | 1 | 7% |
Student > Master | 1 | 7% |
Other | 1 | 7% |
Unknown | 5 | 33% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 5 | 33% |
Business, Management and Accounting | 1 | 7% |
Biochemistry, Genetics and Molecular Biology | 1 | 7% |
Nursing and Health Professions | 1 | 7% |
Engineering | 1 | 7% |
Other | 0 | 0% |
Unknown | 6 | 40% |