A case of common bile duct stenosis due to cavernous transformation formed by extrahepatic portal venous obstruction

A 66-year-old female was referred to our hospital to far examination for irregularity of gallbladder wall and dilatation of common hepatic duct (CHD) detected by ultrasonography. The previous medical history showed that the patient had splenectomy and esophageal transection for esophageal varices at...

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Bibliographic Details
Published inTando Vol. 34; no. 1; pp. 103 - 108
Main Authors Kimura, Toshihisa, Iida, Atsushi, Goi, Takanori
Format Journal Article
LanguageJapanese
Published Japan Biliary Association 31.03.2020
Subjects
bile duct stenosis
bile duct varices
cavernous transformation
extrahepatic portal venous obstruction
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Summary:A 66-year-old female was referred to our hospital to far examination for irregularity of gallbladder wall and dilatation of common hepatic duct (CHD) detected by ultrasonography. The previous medical history showed that the patient had splenectomy and esophageal transection for esophageal varices at the age of 41. Blood test revealed slightly elevation of serum bilirubin. Radiological findings revealed gallbladder stones, extrahepatic portal venous obstruction (EHPVO), cavernous transformation (CVT), stenosis of CBD and dilatation of CHD. CBD stenosis due to CVT formed by EHPVO was diagnosed. An endoscopic biliary drainage (EBD) tube was placed in the CBD for cholestasis. In spite of the EBD tube was lost one year later, serum bilirubin was normal and no deterioration was found with CBD.The patient is healthy in 6 years later now.
ISSN:0914-0077
1883-6879
DOI:10.11210/tando.34.103