Abstract

NAVARRO, Kevin  and  MOSQUERA-KLINGER, Gabriel. Cholestatic Jaundice Secondary to Portal Hypertensive Biliopathy Regarding a Case of Cavernous Transformation of the Portal Vein. Rev. colomb. Gastroenterol. [online]. 2023, vol.38, n.1, pp.59-64.  Epub June 07, 2023. ISSN 0120-9957.  https://doi.org/10.22516/25007440.855.

Portal hypertensive biliopathy comprises the anatomical and functional abnormalities of the intra- and extrahepatic biliary tract, cystic duct, and gallbladder in patients with portal hypertension. The compromise of the bile duct usually occurs in portal obstruction due to the cavernous transformation of the portal vein (CTPV).

We present a case of a young patient with a recent history of portal hypertension and CTPV who presented with an episode of cholestatic hepatitis. Studies documented an image of nodular appearance with extrinsic compression of the distal bile duct compatible with a tumor-like cavernoma. Effective endoscopic treatment was performed using endoscopic retrograde cholangiopancreatography (ERCP), sphincterotomy, and biliary stenting.

Keywords : Portal hypertension; extrahepatic cholestasis; bile duct diseases; portal cavernoma.

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