Korean J Gastrointest Endosc > Volume 19(6); 1999 > Article
Korean Journal of Gastrointestinal Endoscopy 1999;19(6): 999-1004.
간문맥의 해면상 변형에 의해 발생된 폐쇄성 황달 1예 ( A Case of Obstructive Jaundice Caused by Cavernous Transformation of the Portal Vein )
송상훈(Sang Hun Song),서기현(Ki Hyun Seo),김재한(Jae Han Kim),오명진(Myoung Jin Oh),황헌규(Heon Gyen Hwang),김완섭(Wan Sup Kim),김영민(Young Min Kim),문종호(Jong Ho Moon),조영덕(Young Deok Cho),허경렬,허경렬(Kyung Yul Hur),문철(Cheol Moon),구동억(Dong Erk Koo),이혜경(Hae Kyung Lee),심찬섭(Chan Sup Shim)
Abstract
Cavernous transformation of the portal vein is a rare condition probably arising secondary to extrahepatic portal vein thrombosis or obstruction with recannalization and/or collateral veins formation to bypass the obstruction. It is believed that cavernous transformation of the portal vein is caused by a variety of diseases associated with periportal collateral development and hepatopedal flow. It is known that portal vein occlusion, which is the actual cause of cavernous transformation, has a wide variety of etiologies, such as congenital abnormalities, omphalitis, pancreatitis, various carcinoma, and liver cirrhosis. In most cases, the revealing symptom is upper gastrointestinal bleeding. Rarely, however, diagnosis is made from obstructive jaundice. Extensive collateral veins due to portal vein occlusion may compress and narrow the biliary tract. A 39-year-old man was admitted due to jaundice and abdominal discomfort for 1 month. He was confirmed to have obstructive jaundice due to collateral vessels of cavernous transformation of the portal vein. We report a case of obstructive jaundice caused by cavernous transformation of the portal vein. (Korean J Gastrointest Endosc 19: 999∼1004, 1999)
Key Words: Obstructive jaundice, Cavernous transformation, Portal vein, Collateral vessels
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