CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2020; 11(03): 235-237
DOI: 10.1055/s-0040-1709792
Case Report

Endoscopic Biliary Stenting for Portal Biliopathy Perforating Paracholedochal Collateral: A Rare Complication

Kartik Goyal
1  Department of Gastroenterology, Mathura Das Mathur Hospital, Jodhpur, Rajasthan, India
,
2  Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Sabir Hussain
1  Department of Gastroenterology, Mathura Das Mathur Hospital, Jodhpur, Rajasthan, India
,
Pawan Kumar Garg
3  Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Narender Bhargava
1  Department of Gastroenterology, Mathura Das Mathur Hospital, Jodhpur, Rajasthan, India
› Author Affiliations
Sources of Funding None.
  

Abstract

Extrahepatic portal venous obstruction (EHPVO) usually presents with upper gastrointestinal bleed in the first decade of life. Symptomatic portal hypertensive biliopathy is seen in a minority of patients with EHPVO. With use of endoscopic intervention, biliary drainage is maintained in these patients. Various procedural complications have been linked while performing endoscopic retrograde cholangiography and stenting; however, these are managed conservatively. Here, we are highlighting a case of EHPVO with symptomatic portal biliopathy in which the patient bled from paracholedochal collateral after biliary stenting and was managed successfully with a multidisciplinary approach.



Publication History

Publication Date:
06 July 2020 (online)

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