2020 Volume 34 Issue 1 Pages 103-108
A 66-year-old female was referred to our hospital to far examination for irregularity of gallbladder wall and dilatation of common hepatic duct (CHD) detected by ultrasonography. The previous medical history showed that the patient had splenectomy and esophageal transection for esophageal varices at the age of 41. Blood test revealed slightly elevation of serum bilirubin. Radiological findings revealed gallbladder stones, extrahepatic portal venous obstruction (EHPVO), cavernous transformation (CVT), stenosis of CBD and dilatation of CHD. CBD stenosis due to CVT formed by EHPVO was diagnosed. An endoscopic biliary drainage (EBD) tube was placed in the CBD for cholestasis. In spite of the EBD tube was lost one year later, serum bilirubin was normal and no deterioration was found with CBD.
The patient is healthy in 6 years later now.
