The development of extrahepatic portal obstruction after undergoing multiple operations for a congenital dilatation of the bile duct: report of a case

Surgery Today
K FurugakiM Tanaka

Abstract

As a long-term complication after undergoing a cystenterostomy for a congenital dilatation of the bile duct, liver cirrhosis due to stenosis of the anastomosis or reflux cholangitis has been reported in conjunction with subsequent portal hypertension. We treated a 48-year-old Japanese woman who developed both portal hypertension and pancytopenia after undergoing multiple operations for a congenital dilatation of the bile duct. She underwent a Hassab's operation in July 1994, when an occlusion of the extrahepatic portal vein, which resulted in portal hypertension, was first noted; the liver was microscopically normal. The etiology of the extrahepatic portal obstruction in our patient was most likely due to either repeated inflammation or adhesion at the hepatic hilus. Based on these findings, the differential diagnosis of portal hypertension after an operation for a congenital dilatation of the bile duct should therefore include an extrahepatic portal obstruction in addition to liver cirrhosis.

References

Nov 1, 1979·Annals of Surgery·L W Martin, G A Rowe
Apr 1, 1973·Journal of Pediatric Surgery·D KlotzP K Kottmeier
Jul 1, 1969·Archives of Surgery·S S LeeP W Hong

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Citations

Apr 17, 2004·Journal of Clinical Gastroenterology·Figen GürakanHülya Demir
Nov 1, 2005·International Journal of Radiation Oncology, Biology, Physics·Shuichi MitsunagaNaoto Gotohda
Jan 7, 2017·Hepatology Research : the Official Journal of the Japan Society of Hepatology·UNKNOWN Working Subgroup for Clinical Practice Guideline for Aberrant Portal Hemodynamics*,**

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