Clin Endosc.  2017 May;50(3):305-307. 10.5946/ce.2016.108.

Pseudocholangiocarcinoma Sign: Management of Portal Cavernoma Biliopathy with Fully-Covered Self-Expandable Metal Stent

• Lourenço
• Horta DV
• Rodrigues
• Canena J
• Reis J

• KMID: 2388830
• DOI: http://doi.org/10.5946/ce.2016.108

Abstract

No abstract available.

MeSH Terms

Stents*

Figure

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  Fig. 1. (A) Cholangiograms obtained during endoscopic retrograde cholangio-pancreatography (ERCP). Asymmetric stenosis in the middle portion of the common bile duct (CBD) (“pseudocholangiocarcinoma sign”) with small stones above it and dilation of the proximal biliary ducts. (B) Following failure of progressive plastic stenting, a 80×10-mm fully-covered self-expandable metal stents (fcSEMS) was placed. (C) Stent removal 6 months thereafter revealed improvement in the stenotic segment of the CBD.

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  Fig. 2. Abdominal computed tomography (CT) scan with contrast showing typical changes of portal biliopathy including dilated peri-portal venous collaterals with a portal cavernoma, 3×2 cm (arrow), compressing the middle segment of the common bile duct (CBD) (with plastic stent in place). (A) Axial and (B) Coronal views.

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