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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2019; 10(01): 064-066
DOI: 10.4103/jde.JDE_37_18
Case Report
Journal of Digestive Endoscopy

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

Kartik Goyal
Department of Gastroenterology, Mathura Das Mathur Hospital, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Sabir Hussain
Department of Gastroenterology, Mathura Das Mathur Hospital, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Pawan Kumar Garg
1   Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Narender Bhargava
Department of Gastroenterology, Mathura Das Mathur Hospital, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
,
Vaibhav Kumar Varshney
2   Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
› Author Affiliations
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Publication History

Publication Date:
16 September 2019 (online)

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ABSTRACT

Extrahepatic portal venous obstruction (EHPVO) usually presents with upper gastrointestinal bleed in the first decade. Symptomatic portal hypertensive biliopathy is seen in minority of patients with EHPVO. With the 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 who bled from paracholedochal collateral after biliary stenting and managed successfully with multidisciplinary approach.

Keywords

Extra-hepatic portal venous obstruction - paracholedochal plexus - portal biliopathy - stent
 

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