Pickhardt P J, Balfe D M
Mallinckrodt Institute of Radiology, Washington University Medical Center, St. Louis, MO 63110, USA.
Abdom Imaging. 1998 Mar-Apr;23(2):180-2. doi: 10.1007/s002619900316.
We present a case of dense portal vein calcification with secondary extrahepatic biliary stricture and cholangitis in an adult patient diagnosed with idiopathic portal hypertension at age three. Biliary ductal dilation proximal to echogenic shadowing foci near the porta hepatis mimicked choledocholithiasis on sonographic examination. Portal vein calcification and biliary stricture from portal venopathy each represent rare findings. The obstruction was successfully managed with biliary stenting.
我们报告一例成年患者，该患者三岁时被诊断为特发性门静脉高压，现出现门静脉重度钙化并继发肝外胆管狭窄和胆管炎。在超声检查中，肝门附近回声增强的阴影病灶近端的胆管扩张类似胆总管结石。门静脉钙化和门静脉病变引起的胆管狭窄均为罕见表现。通过胆管支架置入术成功处理了梗阻。
