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Percutaneous Transhepatic Angioplasty for Portal Vein Cavernous Transformation after Choledochal Cyst Surgery
Wenjun Shen1, Jianjun Luo, Shan Zheng
1Department of Pediatric surgery, Children's Hospital of Fudan University and *Department of Interventional Radiology, Zhongshan Hospital of Fudan University, Shanghai, China. Correspondence to: Dr Wenjun Shen, Lane 399 Wanyuan Road Minhang District, Shanghai, China201102. doc_albert@126.com.
Background:
Cavernous transformation of the portal vein rarely occurs after a choledochal cyst surgery.
Case Characteristics:
A 7-year-old boy with a history of a choledochal cyst surgery was admitted with recurrent oral and nasal bleeding over next two years. After excluding coagulopathies and hematopathies, we treated him with percutaneous transhepatic angioplasty.
Outcome:
The flow of the portal vein recovered immediately after balloon dilation. The patient's symptoms were relieved, and no recurrence or complications occurred.
Message:
Stenosis and cavernous transformation of portal vein can be successfully managed by percutaneous transhepatic angioplasty.
