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Intraductal sonography of biliary varices associated with extrahepatic portal vein obstruction

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


Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
236 KB
Volume
35
Category
Article
ISSN
0091-2751

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✦ Synopsis


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 susprcted as the cause of the biliary stricture. Β© 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007


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We prospectively studied 2 1 consecutive patients with extrahepatic portal venous obstruction for evidence of biliary tract disease. Two patients were first seen with extrahepatic cholestasis; another had recurrent cholangitis. All three patients with clinically manifest biliary disease were adults.