• J Natl Med Assoc · Oct 2022

    Case Reports

    Novel technique in treating portal cavernous transformation with portal Biliopathy.

    • Alexander D Zhang and Michael Bergen.
    • VTCSOM: 2 Riverside Circle Roanoke, VA 24016.
    • J Natl Med Assoc. 2022 Oct 1; 114 (5): 495-497.

    AbstractWe present a case report of a patient who is a non-cirrhotic with portal cavernous transformation secondary to previous trauma. The patient presents with portal biliopathy requiring ERCP/EUS with biliary stenting. The patient was referred to Interventional Radiology (IR) for portal vein recanalization. The patient underwent a novel technique of transplenic access with portal vein recanalization via a gunsight technique, ultimately receiving a direct intrahepatic portocaval shunt (DIPS). Subsequently, his symptoms resolved, and the biliary stent was successfully removed.Copyright © 2022 National Medical Association. Published by Elsevier Inc. All rights reserved.

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