Compression of the common bile duct due to portal-vein thrombosis in polycythemia vera

Hepatology ◽  
1993 ◽  
Vol 17 (4) ◽  
pp. 586-592 ◽  
Author(s):  
J. Matthias Löhr ◽  
Stefan Kuchenreuter ◽  
Hans Grebmeier ◽  
Eckhardt G. Hahn ◽  
Wolfgang E. Fleig
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Polycythemia Vera ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis ◽  
The Common

scholarly journals Mass-Like Extreme Wall Thickening of the Entire Common Bile Duct in a Case of Portal Cavernoma Cholangiopathy

2021 ◽  
Author(s):  
Veeraraghavan Gunasekaran ◽  
Supraja Laguduva Mohan ◽  
Sunitha Vellathussery Chakkalakkoombil ◽  
Kuppusamy Senthamizhselvan
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Wall Thickening ◽  
Imaging Features ◽  
Biliary Pain ◽  
Immunoglobulin G4 ◽  
Vein Thrombosis ◽  
Portal Cavernoma

AbstractPortal cavernoma cholangiopathy (PCC) refers to the cholangiographic abnormalities that occur in patients with portal cavernoma. These abnormalities may be either due to chronic portal vein thrombosis or extrahepatic portal vein occlusion. These abnormalities occur due to enlargement of the bridging tortuous paracholedochal, epicholedochal, and cholecystic veins exerting pressure on the bile ducts. Ischemic changes can also occur in the bile duct due to portal vein thrombosis, which affects the microvascular circulation or associated hepatic artery thrombosis. These may be either reversible with shunt procedures such as transjugular intrahepatic portosystemic shunt (TIPS) or irreversible in the advanced stage, leading to recurrent episodes of biliary pain, cholangitis, and cholestasis. Occasionally it may present as mass-like diffuse common bile duct (CBD) wall thickening, which may be confused with mimickers like primary CBD lymphoma, immunoglobulin G4-related sclerosing cholangitis, and even cholangiocarcinoma on imaging. Thus, we need to be aware of the mass-forming PCC imaging findings to avoid unnecessary invasive procedures like biopsy or surgical intervention. Here, we present a case of PCC, which presented as mass-like diffuse CBD wall thickening with patent lumen on ultrasound that led to further workup with contrast-enhanced computed tomography and magnetic resonance imaging. The wall thickening showed persistent delayed enhancement, no significant diffusion restriction, and there was also associated superior mesenteric vein thrombosis with multiple mesenteric collaterals. A positron emission tomography-CT scan also ruled out malignant disease as there was no uptake. Finally, a diagnosis of mass-forming PCC was made by combining imaging features and excluding other causes.

Subtypes and clinical significance of common bile duct varices in portal vein thrombosis: diagnosis and follow-up by Doppler US and EUS

2016 ◽  
Vol 41 (3) ◽  
pp. 476-484 ◽  
Author(s):  
Ivica Grgurevic ◽  
Milan Kujundzic ◽  
Marko Banic ◽  
Rajko Kusec ◽  
Tomislav Bokun ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Clinical Significance ◽  
Vein Thrombosis ◽  
Doppler Us

scholarly journals Regulation of Output of Electrolytes in Bile and Pancreatic Juice in Sheep

1972 ◽  
Vol 25 (1) ◽  
pp. 155 ◽  
Author(s):  
I Caple ◽  
T Heath
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Pancreatic Juice ◽  
The Common ◽  
Bicarbonate Output

Bile and pancreatic juice were collected from conscious, standing sheep with fistulae of the common bile duct, before and during infusions of secretin to the portal vein, and during infusion of acid to the duodenum. The output of volume and electrolytes, particularly bicarbonate, in bile and in pancreatic juice increased during infusion of secretin. However, the output of volume and of bicarbonate was three to five times higher in bile than in pancreatic juice. When acid was infused into the duodenum a similar result was obtained, and the increment in total bicarbonate output was similar to the amount of acid infused.

Significant Contribution of the Portal Vein to Blood Flow Through the Common Bile Duct

2012 ◽  
Vol 255 (3) ◽  
pp. 523-527 ◽  
Author(s):  
Juliette C. Slieker ◽  
Waqar R. R. Farid ◽  
Casper H. J. van Eijck ◽  
Johan F. Lange ◽  
Jasper van Bommel ◽  
...  
Keyword(s):  
Blood Flow ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Significant Contribution ◽  
Flow Through ◽  
The Common

scholarly journals Hepatoblastoma in an Adult with Biliary Obstruction and Associated Portal Venous Thrombosis

HPB Surgery ◽  
1995 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Lav K. Kacker ◽  
E. M. Khan ◽  
Rohit Gupta ◽  
V. K. Kapoor ◽  
Rakesh Pandey ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Biliary Obstruction ◽  
Preoperative Diagnosis ◽  
Acute Cholangitis ◽  
Young Female ◽  
Tumor Mass ◽  
Vein Thrombosis ◽  
Portal Venous Thrombosis

We present a case of adult hepatoblastoma. This young female presented with severe acute cholangitis. Preoperative diagnosis was common bile duct (CBD) obstruction with portal vein thrombosis. On exploration she had a tumor mass in the CBD. The unusual features of this case are discussed in this report.

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