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

• Main Authors: Kartik Goyal, Vaibhav Kumar Varshney, Sabir Hussain, Pawan Kumar Garg, Narender Bhargava
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-07-01
• Series: Journal of Digestive Endoscopy
• Subjects: ehpvo; portal biliopathy; paracholedochal plexus; stent
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1709792

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.