title: [Chronic cholestasis as a presentation form of portal cavernoma].
abstract: A 37 year-old-woman was evaluated in 1993 for a chronic asymptomatic cholestasis. An endoscopic retrograde cholangiopancreatography showed the biliary tract compressed, and a mesenteric angiogram disclosed that the cause of biliary obstruction was a portal cavernoma. In addition, large esophageal varices with "red spots" were observed at endoscopy. Propranolol and ursodeoxicolic acid were started and the patient has remained asymptomatic to date. The biliary features of portal cavernoma are reviewed, as well as its pathogenesis, diagnosis and management. Portal cavernoma should be considered in the differential diagnosis of chronic cholestasis.
authors.affiliation: Servicio de Aparato Digestivo, Hospital Universitario Virgen de la Victoria, Málaga.
authors.forename: M D
authors.initials: MD
authors.lastname: García Escaño
authors.forename: R J
authors.initials: RJ
authors.lastname: Andrade
authors.forename: R
authors.initials: R
authors.lastname: Alcántara
authors.forename: F
authors.initials: F
authors.lastname: Melgarejo
authors.forename: R
authors.initials: R
authors.lastname: Camargo
authors.forename: P
authors.initials: P
authors.lastname: Moreno
authors.forename: G
authors.initials: G
authors.lastname: Alcaín
authors.forename: J M
authors.initials: JM
authors.lastname: Fraile
authors.forename: E
authors.initials: E
authors.lastname: Franquelo
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis; D004945:Esophagoscopy; D005260:Female; D006392:Hemangioma, Cavernous / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D011169:Portal Vein
vernacular_title: Colestasis crónica como forma de presentación de una cavernomatosis portal.