Department of Gastroenterology, Gaochun People's Hospital of Nanjing, Gaochun Branch of Nanjing Drum Tower Hospital, Nanjing, China.
Department of Gastroenterology, Suzhou Ninth People's Hospital (Affiliated Wujiang Hospital of Nantong University), Suzhou, China.
J Int Med Res. 2020 Mar;48(3):300060520914834. doi: 10.1177/0300060520914834.
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.
门静脉高压性胆病的特征是门静脉高压引起的胆道异常，尤其是肝外门静脉阻塞。大多数患者无症状；只有约 20%的患者有临床症状。本文报告了一例由门静脉海绵样变性引起的门静脉高压性胆病，伴有复发性胆管炎、胆总管结石和狭窄。该患者在整个临床过程中接受了内镜逆行胰胆管造影术、手术和经颈静脉肝内门体分流术。最后，我们发现目前对他来说，内镜逆行胰胆管造影术中反复放置塑料支架是最佳选择。此外，我们还讨论了该病的诊断和治疗。
