Agüera Arroyo B, Pérez Durán M A, Montero Alvarez J L, Navarro Jarabo J M, Calero Ayala B, Miño Fugarolas G
Servicio de Aparato Digestivo, Hospital Regional Universitario Reina Sofía, Córdoba.
Gastroenterol Hepatol. 1996 Mar;19(3):162-4.
A case of cholestasis in a young patient with portal cavernomatosis is reported. This clinical picture is very infrequent and appears as a consequence of extrinsic compression on the common bile duct due to which the derivative venous collaterals. There does not appear to be any relationship between the intensity of the morphologic alteration of the biliary tract and the level of portal hypertension and the degree of extrahepatic obstruction. Diagnosis was fundamentally achieved by arteriography and retrograde cholangiography with differential diagnosis with the previously mentioned diseases being required. Chronic cholestasis advises derivative surgery in which difficulties may be found due to the presence of thick collaterals in the hepatic pedicle as occurred in this patient.
报告了一例患有门静脉海绵样变性的年轻患者胆汁淤积的病例。这种临床表现非常罕见，是由于胆总管受到外部压迫，进而导致静脉侧支循环形成所致。胆道形态学改变的严重程度与门静脉高压水平及肝外梗阻程度之间似乎没有任何关系。诊断主要通过动脉造影和逆行胆管造影来实现，需要与上述疾病进行鉴别诊断。慢性胆汁淤积建议进行引流手术，但由于肝蒂中存在粗大的侧支循环，如该患者的情况，手术可能会遇到困难。
