title: Intraductal Sonography in Patients With Portal Cavernoma Cholangiopathy.
abstract: Intraductal sonography generates high-resolution images of the entire length of the biliary tree and peribiliary tissues, including 3-dimensional dual- and muti-plane reconstructions to depict complex anatomy. Portal cavernoma cholangiopathy (previously called portal biliopathy) can have multiple etiologies of obstructive cholestasis in the same patient, which can be difficult to define even with advanced imaging techniques.We describe 2 difficult cases of portal cavernoma cholangiopathy in which intraductal sonography helped in clinical management decisions. We think that intraductal sonography should be part of the standard management algorithm for patients with portal cavernoma cholangiopathy and describe the intraductal sonographic correlates of the cholangiographic changes in this condition.
authors.affiliation: Departments of Hepatology (V.B., S.M.S.) and Radiology (A.M.), Institute of Liver and Biliary Sciences, New Delhi, India. vikrambhatiadr@gmail.com.
authors.forename: Vikram
authors.initials: V
authors.lastname: Bhatia
authors.affiliation: Departments of Hepatology (V.B., S.M.S.) and Radiology (A.M.), Institute of Liver and Biliary Sciences, New Delhi, India.
authors.forename: Saggere Muralikrishna
authors.initials: SM
authors.lastname: Shasthry
authors.affiliation: Departments of Hepatology (V.B., S.M.S.) and Radiology (A.M.), Institute of Liver and Biliary Sciences, New Delhi, India.
authors.forename: Amar
authors.initials: A
authors.lastname: Mukund
mesh_terms: D000328:Adult; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging*; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging; D002779:Cholestasis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D019160:Endosonography / Q000379:methods*; D006392:Hemangioma, Cavernous / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male
keywords: dual-plane reconstruction; endoscopic retrograde cholangiography; gastrointestinal ultrasound; intraductal sonography; multi-plane reconstruction; peribiliary collaterals; portal biliopathy; portal cavernoma cholangiopathy