肝外门静脉阻塞相关的胆系静脉曲张的导管内超声检查

Intraductal sonography of biliary varices associated with extrahepatic portal vein obstruction.

作者信息

Rai Tsuyoshi, Irisawa Atsushi, Takagi Tadayuki, Shibukawa Goro, Wakatsuki Takeru, Imamura Hidemichi, Takahashi Yuta, Sato Ai, Sato Masaki, Hikichi Takuto, Obara Katsutoshi, Ohira Hiromasa

机构信息

Department of Internal Medicine 2, Fukushima Medical University School of Medicine, Hikarigaoka 1, Fukushima City, Japan.

出版信息

J Clin Ultrasound. 2007 Nov-Dec;35(9):527-30. doi: 10.1002/jcu.20338.

DOI:10.1002/jcu.20338

PMID:17366553

Abstract

We report a case of biliary varices associated with extrahepatic portal vein obstruction (EHPVO) that were identified via intraductal sonography during endoscopic retrograde cholangiography. A 35-year-old man was admitted to our hospital because of jaundice that had developed during an episode of EHPVO. Laboratory data showed obstructive jaundice. Endoscopic retrograde cholangiography showed some bile duct stenosis with smooth stricture along the extrahepatic biliary duct. Intraductal sonographic examination revealed numerous vessels around the lower and upper parts of the bile duct. Compression by these vessels was suspected as the cause of the biliary stricture.

摘要

我们报告一例与肝外门静脉阻塞（EHPVO）相关的胆管静脉曲张病例，该病例是在经内镜逆行胆管造影术期间通过导管内超声检查发现的。一名35岁男性因EHPVO发作期间出现黄疸而入住我院。实验室检查结果显示为梗阻性黄疸。经内镜逆行胆管造影显示肝外胆管有一些胆管狭窄，狭窄处光滑。导管内超声检查显示胆管上下部周围有许多血管。怀疑这些血管的压迫是胆管狭窄的原因。