Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000200006 |
Resumo: | Introduction: 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. Clinical case: 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. Discussion: 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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Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary ObstructionBiliary Tract DiseasesCholestasisHypertensionPortalIntroduction: 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. Clinical case: 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. Discussion: 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.Sociedade Portuguesa de Gastrenterologia2015-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000200006GE-Portuguese Journal of Gastroenterology v.22 n.2 2015reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000200006Cardoso,RicardoCasela,AdrianoLopes,SandraAgostinho,CláudiaSouto,PauloCamacho,ErnestinaAlmeida,NunoMendes,SofiaGomes,DárioSofia,Carlosinfo:eu-repo/semantics/openAccess2024-02-06T17:33:35Zoai:scielo:S2341-45452015000200006Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:35:53.864045Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction |
title |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction |
spellingShingle |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction Cardoso,Ricardo Biliary Tract Diseases Cholestasis Hypertension Portal |
title_short |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction |
title_full |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction |
title_fullStr |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction |
title_full_unstemmed |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction |
title_sort |
Portal Hypertensive Biliopathy: An Infrequent Cause of Biliary Obstruction |
author |
Cardoso,Ricardo |
author_facet |
Cardoso,Ricardo Casela,Adriano Lopes,Sandra Agostinho,Cláudia Souto,Paulo Camacho,Ernestina Almeida,Nuno Mendes,Sofia Gomes,Dário Sofia,Carlos |
author_role |
author |
author2 |
Casela,Adriano Lopes,Sandra Agostinho,Cláudia Souto,Paulo Camacho,Ernestina Almeida,Nuno Mendes,Sofia Gomes,Dário Sofia,Carlos |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Cardoso,Ricardo Casela,Adriano Lopes,Sandra Agostinho,Cláudia Souto,Paulo Camacho,Ernestina Almeida,Nuno Mendes,Sofia Gomes,Dário Sofia,Carlos |
dc.subject.por.fl_str_mv |
Biliary Tract Diseases Cholestasis Hypertension Portal |
topic |
Biliary Tract Diseases Cholestasis Hypertension Portal |
description |
Introduction: 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. Clinical case: 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. Discussion: 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. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-04-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000200006 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000200006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000200006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.22 n.2 2015 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799137411696951296 |