Skip to main content
PMC home page
Gut logoLink to Gut
. 1992 Feb;33(2):272–276. doi: 10.1136/gut.33.2.272

Pseudosclerosing cholangitis in extrahepatic portal venous obstruction.

J B Dilawari 1, Y K Chawla 1
PMCID: PMC1373944  PMID: 1541425

Abstract

Biliary changes secondary to portal hypertension have rarely been described in published reports. Twenty consecutive patients with extrahepatic portal venous obstruction, all of whom showed a variable degree of abnormalities in the biliary tract suggestive of sclerosing cholangitis, are described. These biliary abnormalities were: focal narrowing, dilatations, and cholangitic changes affecting the main bile ducts and hepatic ducts. The left hepatic duct and its branches were affected in all patients. Only one patient had clinical or biochemical evidence of cholestasis. The mechanism of these abnormalities in the biliary tract of these patients is perhaps the development of portal collaterals.

Full text

PDF

Images in this article

272Figure 1
on p.272
273Figure 2
on p.273
274Figure 3
on p.274
274Figure 4
on p.274
274Figure 5
on p.274

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ayoola E. A., Vennes J. A., Silvis S. E., Rohrmann C. A., Ansel H. J. Endoscopic retrograde intrahepatic cholangiography in liver diseases. Gastrointest Endosc. 1976 Feb;22(3):156–159. doi: 10.1016/s0016-5107(76)73732-5. [DOI] [PubMed] [Google Scholar]
  2. Cahow C. E., Burrell M., Greco R. Hemobilia following percutaneous transhepatic cholangiography. Ann Surg. 1977 Feb;185(2):235–241. doi: 10.1097/00000658-197702000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chawla Y., Dilawari J. B. Anorectal varices--their frequency in cirrhotic and non-cirrhotic portal hypertension. Gut. 1991 Mar;32(3):309–311. doi: 10.1136/gut.32.3.309. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Choudhuri G., Tandon R. K., Nundy S., Misra N. K. Common bile duct obstruction by portal cavernoma. Dig Dis Sci. 1988 Dec;33(12):1626–1628. doi: 10.1007/BF01535956. [DOI] [PubMed] [Google Scholar]
  5. Dilawari J. B., Chawla Y. K. Extrahepatic portal venous obstruction. Gut. 1988 Apr;29(4):554–555. doi: 10.1136/gut.29.4.554. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kim S., Chew F. S. Choledochal varices. AJR Am J Roentgenol. 1988 Mar;150(3):578–580. doi: 10.2214/ajr.150.3.578. [DOI] [PubMed] [Google Scholar]
  7. Lebrec D., Benhamou J. P. Ectopic varices in portal hypertension. Clin Gastroenterol. 1985 Jan;14(1):105–121. [PubMed] [Google Scholar]
  8. Maxwell J. W., Jr, Jackson F. C. Splenoportography using a plastic hubbed catheter. Surg Gynecol Obstet. 1967 Feb;124(2):362–364. [PubMed] [Google Scholar]
  9. Paquet K. J. Prophylactic endoscopic sclerosing treatment of the esophageal wall in varices -- a prospective controlled randomized trial. Endoscopy. 1982 Jan;14(1):4–5. doi: 10.1055/s-2007-1021560. [DOI] [PubMed] [Google Scholar]
  10. Seltzer R. A., Rossiter S. B., Cooperman L. R., Liebowitz D. Hemobilia following needle biopsy of the liver. AJR Am J Roentgenol. 1976 Dec;127(6):1035–1036. doi: 10.2214/ajr.127.6.1035. [DOI] [PubMed] [Google Scholar]
  11. Spira R., Widrich W. C., Keusch K. D., Jackson B. T., Katzman H. E., Coello A. A. Bile duct varices. Arch Surg. 1985 Oct;120(10):1194–1196. doi: 10.1001/archsurg.1985.01390340086018. [DOI] [PubMed] [Google Scholar]
  12. Williams S. M., Burnett D. A., Mazer M. J. Radiographic demonstration of common bile duct varices. Gastrointest Radiol. 1982;7(1):69–70. doi: 10.1007/BF01887610. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES