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Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction

Overview of attention for article published in GE-Portuguese Journal of Gastroenterology, March 2015
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Title
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction
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.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 15 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 15 100%

Demographic breakdown

Readers by professional status Count As %
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 %
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%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 September 2017.
All research outputs
#23,154,082
of 25,806,080 outputs
Outputs from GE-Portuguese Journal of Gastroenterology
#172
of 208 outputs
Outputs of similar age
#252,052
of 292,313 outputs
Outputs of similar age from GE-Portuguese Journal of Gastroenterology
#2
of 2 outputs
Altmetric has tracked 25,806,080 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 208 research outputs from this source. They receive a mean Attention Score of 1.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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