Portal Biliopathy Diagnosed Using Color Doppler and Contrast-enhanced Ultrasound
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概要
- 論文の詳細を見る
Portal biliopathy is a morphological abnormality of the biliary ductal and gallbladder wall associated with portal hypertension. A patient with essential thrombocythemia was initially diagnosed with extrahepatic portal vein obstruction (EHPVO). The contrast-enhanced computed tomography (CT) findings were similar to those of cholangiocarcinoma or sclerosing cholangitis. However, color Doppler and contrast-enhanced ultrasound (US) were more specific. The paracholedocheal veins around the bile ducts appeared as beads soon after the injection of contrast medium, followed by linear enhancement of the epicholedochal veins and the gradual enhancement of the whole bile ducts. These findings led to a diagnosis of portal biliopathy, which prevented the patient from having to endure hazardous procedures such as bile duct biopsies. Color Doppler and contrast-enhanced US findings are useful for diagnosing or ruling out portal biliopathy in patients who present with EHPVO.
- 社団法人 日本内科学会の論文
著者
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Matsuura Bunzo
Department Of Gastroenterology And Metabology Ehime University Graduate School Of Medicine
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Mochizuki Teruhito
Department Of Cardiology Matsuyama Red Cross Hospital
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Ikeda Yoshio
Department of Cardiology, Tachikawa General Hospital
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Tokumoto Yoshio
Department Of Gastroenterology And Metabology Ehime University Graduate School Of Medicine
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Hiasa Yoichi
Department Of Gastroenterology And Metabology Ehime University Graduate School Of Medicine
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Onji Morikazu
Department Of Gastroenrerology And Metabology Ehime University Graduate School Of Medicine
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Tada Fujimasa
Department Of Surgery Shizuoka City Hospital
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Tsuda Takaharu
Department Of Radiolog Ehime University School Of Medicine
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Abe Masanori
Department Of Anesthesiology Faculty Of Medicine University Of The Ryukyus
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Ochi Hironori
Department Of Gastroenterology Ehime Prefectural Central Hospital
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Tanaka Hiroaki
Department Of Biology Aichi University Of Education
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Koizumi Yohei
Department Of Gastroenterology And Metabology Ehime University Graduate School Of Medicine
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Hirooka Masashi
Department of Gastroenterology and Metabiology, Ehime University Graduate School of Medicine, Japan
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Ikeda Yoshio
Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan
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Nunoi Hiroaki
Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan
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Hiasa Yoichi
Department of Gastroenterology and Metabiology, Ehime University Graduate School of Medicine, Japan
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Tokumoto Yoshio
Department of Gastroenterology and Metabiology, Ehime University Graduate School of Medicine, Japan
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Tada Fujimasa
Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan
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Tanaka Hiroaki
Department of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Japan
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Tsuda Takaharu
Department of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Japan
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Abe Masanori
Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan
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