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. 2016:2016:8602378.
doi: 10.1155/2016/8602378. Epub 2016 Oct 5.

An Unusual Case of Gastrointestinal Bleeding from Isolated Gallbladder Varices in a Patient with Pancreatic Cancer Complicated by Portal Biliopathy

Mahir Gachabayov  1 , Kubach Kubachev  2 , Elbrus Abdullaev  1 , Nonna Zarkua  2 , Abakar Abdullaev  1 , Artur Fokin  2
Affiliations

An Unusual Case of Gastrointestinal Bleeding from Isolated Gallbladder Varices in a Patient with Pancreatic Cancer Complicated by Portal Biliopathy

Mahir Gachabayov et al. Case Rep Gastrointest Med. 2016.

Abstract

Portal biliopathy is the complex of abnormalities of extrahepatic and intrahepatic bile ducts, cystic duct, and gallbladder, arising as a result of extrahepatic portal vein obstruction and noncirrhotic portal fibrosis, which can be caused by coagulopathies, tumors, inflammation, postoperative complications, dehydration, and neonatal umbilical vein catheterization. We report a case of a 55-year-old male patient with the history of pancreatic cancer and cholecystoenteric anastomosis presenting with gastrointestinal bleeding from gallbladder varices via the anastomosis.

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Figures

Figure 1
Figure 1
Abdominal contrast-enhanced CT, axial plane, showing gallbladder varices (diffuse variceal dilation of veins in the gallbladder wall).
Figure 2
Figure 2
Abdominal contrast-enhanced CT. (a) Oblique plane, showing gallbladder varices, and (b) axial plane, showing gallbladder varices and cholecystoenteric anastomosis.
Figure 3
Figure 3
Abdominal contrast-enhanced CT, axial plane. Stented common bile duct is intimately close to the portal vein causing its minor compression.
See this image and copyright information in PMC

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