The Journal of international medical research · 2020
Whole clinical process in a patient with portal hypertensive biliopathy: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ma Yimin, Cai Rencheng, Zhuang Duanming, Tang Yuehua, Cao Youhong, Wang Xiaoping, Qiao Zhenguo
Аннотация
Portal hypertensive biliopathy is characterized by abnormalities in the biliary tract secondary to portal hypertension, especially extrahepatic portal vein obstruction. Most patients are asymptomatic; only about 20% have clinical symptoms. We herein report a case of portal hypertensive biliopathy caused by cavernous transformation of the portal vein with the development of recurrent cholangitis with common bile duct stones and stricture. This patient underwent endoscopic retrograde cholangiopancreatography, a surgical operation, and a transvenous intrahepatic portosystemic shunt procedure during the whole clinical process. Finally, we found the recurrent plastic stent insertion at endoscopic retrograde cholangiopancreatography was the best option for him at present. In addition, we also discussed the diagnosis and management of this disease.