Cargando…

Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia

A 63-year-old man with extrahepatic portal vein thrombosis presented with biliary obstruction and hemobilia after a liver biopsy. Balloon sweep of the common bile duct removed clotted blood, and cholangiogram showed a common bile duct narrowing, treated with biliary stenting. A percutaneous biliary...

Descripción completa

Detalles Bibliográficos
Autores principales: Schlansky, Barry, Kaufman, John A., Bakis, Gene, Naugler, Willscott E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435264/
https://www.ncbi.nlm.nih.gov/pubmed/26157818
http://dx.doi.org/10.14309/crj.2013.16
_version_ 1782371886702788608
author Schlansky, Barry
Kaufman, John A.
Bakis, Gene
Naugler, Willscott E.
author_facet Schlansky, Barry
Kaufman, John A.
Bakis, Gene
Naugler, Willscott E.
author_sort Schlansky, Barry
collection PubMed
description A 63-year-old man with extrahepatic portal vein thrombosis presented with biliary obstruction and hemobilia after a liver biopsy. Balloon sweep of the common bile duct removed clotted blood, and cholangiogram showed a common bile duct narrowing, treated with biliary stenting. A percutaneous biliary catheter was later required for recurrent biliary obstruction and hemobilia, and repeat cholangiogram confirmed portal biliopathy—a large peri-biliary varix was compressing the common bile duct, causing biliary obstruction and intermittent portal hypertensive hemobilia. A transjugular intrahepatic portosystemic shunt was inserted, followed by embolization of the peri-biliary varix. Delayed diagnosis of portal biliopathy may lead to significant patient morbidity.
format Online
Article
Text
id pubmed-4435264
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher American College of Gastroenterology
record_format MEDLINE/PubMed
spelling pubmed-44352642015-07-08 Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia Schlansky, Barry Kaufman, John A. Bakis, Gene Naugler, Willscott E. ACG Case Rep J Case Report A 63-year-old man with extrahepatic portal vein thrombosis presented with biliary obstruction and hemobilia after a liver biopsy. Balloon sweep of the common bile duct removed clotted blood, and cholangiogram showed a common bile duct narrowing, treated with biliary stenting. A percutaneous biliary catheter was later required for recurrent biliary obstruction and hemobilia, and repeat cholangiogram confirmed portal biliopathy—a large peri-biliary varix was compressing the common bile duct, causing biliary obstruction and intermittent portal hypertensive hemobilia. A transjugular intrahepatic portosystemic shunt was inserted, followed by embolization of the peri-biliary varix. Delayed diagnosis of portal biliopathy may lead to significant patient morbidity. American College of Gastroenterology 2013-10-08 /pmc/articles/PMC4435264/ /pubmed/26157818 http://dx.doi.org/10.14309/crj.2013.16 Text en Copyright © Schlansky et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/3.0
spellingShingle Case Report
Schlansky, Barry
Kaufman, John A.
Bakis, Gene
Naugler, Willscott E.
Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia
title Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia
title_full Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia
title_fullStr Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia
title_full_unstemmed Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia
title_short Portal Biliopathy Causing Recurrent Biliary Obstruction and Hemobilia
title_sort portal biliopathy causing recurrent biliary obstruction and hemobilia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435264/
https://www.ncbi.nlm.nih.gov/pubmed/26157818
http://dx.doi.org/10.14309/crj.2013.16
work_keys_str_mv AT schlanskybarry portalbiliopathycausingrecurrentbiliaryobstructionandhemobilia
AT kaufmanjohna portalbiliopathycausingrecurrentbiliaryobstructionandhemobilia
AT bakisgene portalbiliopathycausingrecurrentbiliaryobstructionandhemobilia
AT nauglerwillscotte portalbiliopathycausingrecurrentbiliaryobstructionandhemobilia