Korean J Gastrointest Endosc.  2005 Nov;31(5):358-362.

A Case of Multiple Intrahepatic Duct Stones associated with Portal Biliopathy

  • 1Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. doc0224@chol.com
  • 2Department of Radiology, Pusan National University College of Medicine, Busan, Korea.


"Portal biliopathy" is a terminology used to describe the biliary, ductal and gallbladder wall abnormalities seen in patients with portal hypertension. These changes are predominantly seen in patients with extrahepatic portal vein obstruction (EHPVO), and they include abnormalities (stricture and dilatation) of both the extra and intrahepatic bile ducts, and varices of the gallbladder. The majority of the patients are asymptomatic, but these changes occasionally become significant and give rise to overt obstructive jaundice and they possibly contribute to the development of choledocholithiasis and cholangitis. Asymptomatic patients do not need any treatment. If there is persistent elevation of alkaline phosphatase or ductal dilatation on ultrasonography, ERCP or MRCP can be performed to detect choledocholithiasis or biliary stricture. We present here a 43-year-old male patient for whom portal biliopathy with accompanying multiple intrahepatic duct stones was diagnosed by MRCP and choledocoscopy.


Portal biliopathy; Cavernous transformation
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