A CLINICAL CASE OF PORTAL BILIOPATHY
Abstract
Background. The term «portal biliopathy» (PB) refers to abnormalities of the entire biliary tract including intrahepatic and extrahepatic bile ducts, the cystic duct as well as the gallbladder in patients with portal hypertension. Objective. To describe a clinical case of portal biliopathy. Material and methods. Clinical observation of a patient aged 42, who was examined and treated at the 2nd City Clinical Hospital, Minsk, Belarus in February 2023. Results. Esophagogastroduodenoscopy and ultrasonography revealed portal hypertension, grade 2-3 esophageal varices and changes in the bile ducts. The subsequent use of computed tomography, magnetic resonance imaging, endoscopic retrograde cholangiopancreatography made it possible to identify cavernous transformation of portal vein due to occlusive thrombosis as well as portal biliopathy with extensive stenosis of the ductus choledochus. Conclusions. The presented clinical case demonstrates the asymptomatic course of a severe pathology known as extrahepatic portal vein obstruction (EHPVO) with the development of portal hypertension and portal biliopathy.
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