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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| Published in | Tando Vol. 34; no. 1; pp. 103 - 108 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Biliary Association
31.03.2020
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| Subjects | |
| Online Access | Get full text |
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Iida, Atsushi Goi, Takanori Kimura, Toshihisa |
| Author_xml | – sequence: 1 fullname: Kimura, Toshihisa organization: Department of Surgery, National Hospital Organization Tsuruga Medical Center – sequence: 2 fullname: Iida, Atsushi organization: Department of Surgery, National Hospital Organization Tsuruga Medical Center – sequence: 3 fullname: Goi, Takanori organization: First Department of Surgery, Faculty of Medicine, University of Fukui |
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| Copyright | 2020 Japan Biliary Association |
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| DOI | 10.11210/tando.34.103 |
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| SubjectTerms | bile duct stenosis bile duct varices cavernous transformation extrahepatic portal venous obstruction |
| Title | A case of common bile duct stenosis due to cavernous transformation formed by extrahepatic portal venous obstruction |
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