Natural history of portal cavernoma cholangiopathy

Journal of Clinical and Experimental Hepatology
Manoj Kumar, Vivek A Saraswat

Abstract

The natural history of portal cavernoma cholangiopathy (PCC) is poorly defined and poorly understood. It develops early after acute portal vein thrombosis (PVT) if there is failure of recanalization. In PCC, the likelihood of progression of biliary abnormalities after 1 year is extremely low. The natural history of PCC is conveniently divided into asymptomatic and symptomatic stages. The majority of patients with PCC are asymptomatic and are detected incidentally on imaging. Limited data suggest that asymptomatic PCC is static or only slowly progressive in the initial stages. However, most workers agree that, overall, PCC is a slowly progressive disease. Symptomatic PCC represents a late stage in its natural history. Finding strictures with dilatation at cholangiography is associated with a higher risk of developing symptoms of PCC. Onset of symptoms is often precipitated by the development of biliary sludge or calculi and treating calculi usually relieves symptoms for prolonged periods of time. Clinical presentations include biliary pain, obstructive jaundice, acute cholangitis, acute cholecystitis, or other presentations of gallstone disease. Progressive liver dysfunction and secondary biliary cirrhosis can develop in a minor...Continue Reading

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Citations

Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Radha K DhimanJang B Dilawari
Nov 9, 2015·Gastroenterología y hepatología·Elba Llop, Susana Seijo
Sep 28, 2018·Journal of Hepato-biliary-pancreatic Sciences·Moinak Sen SarmaUjjal Poddar
Mar 9, 2018·ACG Case Reports Journal·Vivian M UssuiCynthia Levy
Oct 26, 2018·American Journal of Clinical Pathology·Meredith E PittmanJose Jessurun
Sep 28, 2016·World Journal of Gastroenterology : WJG·Mohammad S KhurooMehnaaz S Khuroo
Apr 11, 2020·Journal of Clinical and Translational Hepatology·Moinak Sen Sarma, Aathira Ravindranath

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