Extrinsic compression of the hepatocholedocus caused by cavernomatosis of the portal vein. Report of a case
Carpani, M.; Guma, C.I.; Casal, M.A.
Acta Gastroenterologica Latinoamericana 12(2): 155-158
1982
ISSN/ISBN: 0300-9033 PMID: 7158244 Document Number: 190429
The extrinsic compression of the hepatocholedochus by a cavernomatosis of the portal vein, is an unusual pathology. The present case begun clinically as an obstructive jaundice, assuming that the vascular origin of the compression increased the litiasic biliary disease. The percutaneous transhepatic cholangiography was the diagnostic method that suggested a double illness of the biliary system. The surgery and the pathology certificated the diagnosis. The correct treatment once confirmed the obstructive trial, must be: the extraction of the biliary gallstones and the bile-digestive derivation (preferently the hepatic-jejunum anastomosis in Y of Roux).