Solmi L, Rossi A, Conigliaro R, Sassatelli R, Gandolfi L
Service of Gastroenterology and Digestive Endoscopy, Polyclinic Hospital S. Orsola-Malpighi, Bologna, Italy.
Ital J Gastroenterol Hepatol. 1998 Apr;30(2):202-4.
Biliary changes secondary to portal hypertension are uncommon. These patients do not usually present clinical or biochemical evidence of cholestasis. This report describes one case of obstructive jaundice due to portal cavernoma. The obstructive jaundice appeared in adulthood in a patient who had developed the portal cavernoma during childhood. Endoscopic retrograde cholangiography allowed both the diagnosis and the palliative treatment of the stenosis of the common bile duct, avoiding risky surgical treatment.
门静脉高压继发的胆道改变并不常见。这些患者通常没有胆汁淤积的临床或生化证据。本报告描述了一例因门静脉海绵样变导致的梗阻性黄疸病例。该梗阻性黄疸出现在一名童年时期就已发生门静脉海绵样变的成年患者身上。内镜逆行胆管造影术实现了胆总管狭窄的诊断和姑息治疗,避免了有风险的手术治疗。