Acute cholangitis and hemobilia in a patient with liver cirrhosis and portal vein cavernomatous transformation.

作者: María Fraile-González , Javier Eguaras-Ros , David Ruiz-Clavijo-García , Juan Isidro Úriz-Otano , Eduardo Albéniz-Arbizu

DOI:

关键词: CirrhosisMedicineUsually asymptomaticGastroenterologyBiliary tractPortal veinIn patientBile ductVaricesPathogenesisInternal medicine

摘要: Portal hypertensive cholangiopathy (PHC) includes bile duct (BD) abnormalities seen in patients with extrahepatic portal vein obstruction (EPVO). The formation of varices the epiand paracholedochal venous plexes which compress biliary tract take part its pathogenesis (1,2). Its course is usually asymptomatic, being obstructive jaundice and hemobilia rare manifestations this entity (3,4). latter related to choledocholithiasis BD manipulation, less frequently choledochal (4).

参考文章(3)
Bertrand Condat, Valérie Vilgrain, Tarik Asselah, Dermot O'Toole, Pierre Rufat, Magali Zappa, Richard Moreau, Dominique Valla, Portal cavernoma-associated cholangiopathy: A clinical and MR cholangiography coupled with MR portography imaging study Hepatology. ,vol. 37, pp. 1302- 1308 ,(2003) , 10.1053/JHEP.2003.50232
Vanessa Suárez, Andrés Puerta, Luisa Fernanda Santos, Juan Manuel Pérez, Adriana Varón, Rafael Claudino Botero, Portal hypertensive biliopathy: A single center experience and literature review World Journal of Hepatology. ,vol. 5, pp. 137- 144 ,(2013) , 10.4254/WJH.V5.I3.137
Chi Ho Ng, Lawrence Lai, Ka Ho Lok, Kin Kong Li, Ming Leung Szeto, Choledochal varices bleeding: A case report World Journal of Gastrointestinal Endoscopy. ,vol. 2, pp. 190- 192 ,(2010) , 10.4253/WJGE.V2.I5.190