Journal of Postgraduate Medicine
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Year : 2020  |  Volume : 66  |  Issue : 4  |  Page : 209-211  

Bile duct wall calcification: A rare entity in portal cavernoma cholangiopathy

P N B Nitesh, B Pottakkat 
 Department of Surgical Gastroenterology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, India

Correspondence Address:
B Pottakkat
Department of Surgical Gastroenterology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry
India

Cavernomatous transformation of the portal vein, seen in extrahepatic portal venous obstruction (EHPVO), can cause impingement or ischemic insult on bile ducts manifesting as “portal cavernoma cholangiopathy” (PCC). Bile duct wall calcification in portal biliopathy is a rare occurrence and has not been reported in the literature to the best of our knowledge. We report a 59-year-old male, a known case of EHPVO, who had undergone laparoscopic cholecystectomy, splenectomy, and splenorenal shunt in the past. The patient had now presented to us in view of recurrent episodes of cholangitis for which a bilioenteric bypass was planned. Intraoperatively, dilated and densely thickened bile ducts with multiple pericholedochal collaterals were noted. Incision of common hepatic duct and left hepatic duct showed completely calcified ductal wall with no visible healthy mucosa. Calcifications were removed partially from the bile duct walls near choledochotomy site. With the anticipation of futile benefit from bilioenteric bypass, Roux-en-Y HJ was abandoned. Hepaticoduodenostomy was done to prevent bile leak from choledochotomy site.


How to cite this article:
Nitesh P N, Pottakkat B. Bile duct wall calcification: A rare entity in portal cavernoma cholangiopathy.J Postgrad Med 2020;66:209-211


How to cite this URL:
Nitesh P N, Pottakkat B. Bile duct wall calcification: A rare entity in portal cavernoma cholangiopathy. J Postgrad Med [serial online] 2020 [cited 2022 May 23 ];66:209-211
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2020;volume=66;issue=4;spage=209;epage=211;aulast=Nitesh;type=0


 
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