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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
,
Vaibhav Kumar Varshney 
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.
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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.

Keywords

EHPVO - portal biliopathy - paracholedochal plexus - stent


Publication History

Article published online:
06 July 2020

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