Hepatic peribiliary cysts with rapidly progressive refractory obstructive jaundice and esophageal varices.
A 54-year-old man with decompensated alcoholic liver cirrhosis presented with acute cholangitis. Although no localized lesions were detected in the liver on contrast-enhanced computed tomography and no risky varices were noted on endoscopy, hepatic peribiliary cysts (HPBCs) developed along the intrahepatic portal vein in the course of only 40 days. Moreover, esophageal varices with the red color sign grew rapidly during the same period, and the patient ultimately died due to rupture. HPBC formation is a rare complication of liver disease, including cirrhosis. Although HPBCs are generally harmless, on rare occasions they may induce the rapid progression of esophageal varices.
The Third Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine, Japan.
Michihiko
M
Shibata
Masaaki
M
Hiura
Michio
M
Senju
Toru
T
Matsuhashi
Shintaro
S
Abe
Chie
C
Morita
Kazuhiro
K
Hayashida
Akinari
A
Tabaru
Masaru
M
Harada
D001649:Bile Duct Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D003560:Cysts / Q000150:complications* / Q000000981:diagnostic imaging*; D004932:Esophageal and Gastric Varices / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011859:Radiography