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Common bile duct obstruction by portal cavernoma
G Choudhuri1, R K Tandon, S Nundy
1Department of Gastroenterology, All India Institutes of Medical Sciences, Ansari Nagar, New Delhi.
Digestive Diseases and Sciences
|December 1, 1988
Summary
Obstructive jaundice caused by portal hypertension is rare. Surgical decompression of portal hypertension relieved biliary obstruction in a patient with a portal cavernoma, confirming vein compression as the cause.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Gastroenterology
Background:
- Portal hypertension is a serious complication of liver disease.
- Obstructive jaundice is rarely associated with portal hypertension.
- Portal cavernoma, a venous malformation, can cause complications.
Observation:
- A 24-year-old patient presented with obstructive jaundice.
- The jaundice was caused by a portal cavernoma compressing the common bile duct.
- This presentation is a rare association between portal hypertension and biliary obstruction.
Findings:
- Surgical decompression of the portal system led to the relief of biliary obstruction.
- This outcome confirmed that dilated portal vein collaterals were compressing the biliary tract.
- This is the first reported case of improvement following shunt surgery for biliary obstruction due to portal cavernoma.
Implications:
- Portal cavernoma should be considered in patients with unexplained obstructive jaundice and portal hypertension.
- Surgical intervention, specifically shunt surgery, can be an effective treatment.
- This case highlights a novel approach to managing a rare clinical presentation.