Cavernous Transformation of the Portal Vein Causing Jaundice, Presenting in the Form of Wilson’s Disease

V. RuszinkóDept. of Pediatrics, Petz Aladár County Teaching Hospital, Györ ; 1st Dept. of Pediatrics, Semmelweis Medical University, Budapest ; # Dept. of Surgery, Telki Private Hospital,Budapest, HungaryView further author information

M. KovácsDept. of Pediatrics, Petz Aladár County Teaching Hospital, Györ ; 1st Dept. of Pediatrics, Semmelweis Medical University, Budapest ; # Dept. of Surgery, Telki Private Hospital,Budapest, Hungary

L. SzönyiDept. of Pediatrics, Petz Aladár County Teaching Hospital, Györ ; 1st Dept. of Pediatrics, Semmelweis Medical University, Budapest ; # Dept. of Surgery, Telki Private Hospital,Budapest, Hungary

T. VerebélyDept. of Pediatrics, Petz Aladár County Teaching Hospital, Györ ; 1st Dept. of Pediatrics, Semmelweis Medical University, Budapest ; # Dept. of Surgery, Telki Private Hospital,Budapest, Hungary

P. WillnerDept. of Pediatrics, Petz Aladár County Teaching Hospital, Györ ; 1st Dept. of Pediatrics, Semmelweis Medical University, Budapest ; # Dept. of Surgery, Telki Private Hospital,Budapest, Hungary

Abstract

The following is a case review of portal vein cavernous malformation presenting with intermittent cholestasis and jaundice in a 4 year old child. Correct assessment was supported by radiology, later laparoscopy, yet hindered by histopathology representative Wilson’s disease and elevated urinary copper excretion. During surgical procedure the stenosis of the common bile duct secondary to extremely dilated portal vein reticulation was solved by Roux-en-Y choledochojejunostomy. After a one-year follow up the child remains asymptomatic.

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V. Ruszinkó

Ruszinkó Viktória MD Department of Pediatrics Petz Aladár Teaching Hospital 9002. Györ, POBox 92. (Hungary) Tel.: +36 96 507 936 Fax: +36 96 317 621

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Cavernous Transformation of the Portal Vein Causing Jaundice, Presenting in the Form of Wilson’s Disease

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V. Ruszinkó

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Cavernous Transformation of the Portal Vein Causing Jaundice, Presenting in the Form of Wilson’s Disease

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V. Ruszinkó

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