Clin Mol Hepatol.  2016 Mar;22(1):172-176. 10.3350/cmh.2016.22.1.172.

Portal biliopathy treated with endoscopic biliary stenting

• Jeon SJ
• Min JK
• Kwon SY
• Kim JH
• Moon SY
• Lee KH
• Kim JH
• Choe WH
• Cheon YK
• Kim TH
• Park HS

• KMID: 2363036
• DOI: http://doi.org/10.3350/cmh.2016.22.1.172

Abstract

Portal biliopathy is defined as abnormalities in the extra- and intrahepatic ducts and gallbladder of patients with portal hypertension. This condition is associated with extrahepatic venous obstruction and dilatation of the venous plexus of the common bile duct, resulting in mural irregularities and compression of the biliary tree. Most patients with portal biliopathy remain asymptomatic, but approximately 10% of them advance to symptomatic abdominal pain, jaundice, and fever. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography are currently used as diagnostic tools because they are noninvasive and can be used to assess the regularity, length, and degree of bile duct narrowing. Management of portal biliopathy is aimed at biliary decompression and reducing the portal pressure. Portal biliopathy has rarely been reported in Korea. We present a symptomatic case of portal biliopathy that was complicated by cholangitis and successfully treated with biliary endoscopic procedures.

Keyword

Bile duct obstruction; Portal hypertension; Endoscopic retrograde cholangiopancreatography; Biliary stent

MeSH Terms

Abdomen/diagnostic imaging
Cholangiopancreatography, Endoscopic Retrograde
Cholestasis/*diagnosis
Humans
Hypertension, Portal/*diagnosis
Male
Middle Aged
Portal Vein
*Stents
Tomography, X-Ray Computed