Abstract
A 77-year-old man was admitted to our hospital with melena 13 months after hepatectomy with bile duct resection for benign gallbladder tumor. Abdominal CT and angiography revealed a complete obstruction of the extrahepatic portal vein (PV) with dilated hepatopetal collaterals through the jejunal loop. Obstruction of the PV was relieved with metallic stenting through percutaneous transhepatic PV angioplasty and coil embolization of the collaterals of the jejunum. The PV pressure remarkably decreased from 35 to 21 cmH2O after metallic stenting of the PV and coil embolization of the collaterals. He has recovered well 7 years after these interventional procedures without any episode of gastrointestinal hemorrhage and with good patency of the PV. These interventional approaches with metallic stenting and coil embolization might be useful for the patients with benign PV obstruction.
