A case of biliary stricture caused by cavernous transformation of the portal vein.
A case is reported of extrahepatic obstruction of the portal vein with the unusual complication of obstructive jaundice that resulted from compression of the common bile duct caused by cavernous transformation of the varicose network. It is surgically impossible to repair choledochal stenosis resulting from enlarged varices in the vicinity of the common bile duct. In this case, internal drainage from the biliary duct to the duodenum using a silastic tube and a reservoir implanted in the subcutaneous space successfully eliminated the jaundice.
First Department of Surgery, School of Medicine, University of Tokushima, Japan.
H
H
Takehara
N
N
Komi
A
A
Okada
K
K
Masamune
A
A
Asai
D000293:Adolescent; D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011169:Portal Vein; D011172:Portography; D019736:Prostheses and Implants; D013105:Sphincterotomy, Transduodenal; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000150:complications* / Q000175:diagnosis / Q000601:surgery