PORTAL HYPERTENSION CHOLANGIOPATHY. A RARE CASE DIAGNOSED BY CHOLANGIOSCOPY

64-year-old male follow up of alcoholic liver cirrhosis with portal hypertension that in abdominal ultrasound of hepatocarcinoma screening, was evidenced dilatation of the intrahepatic bile duct.

The study was completed with MR cholangiography confirming findings and suggesting the posibility of cholangiocarcinoma. ERCP was performed, demonstrating at the level of the bilateral intrahepatic bile duct, rounded replenishment defects with cord disposition. The cholangioscopy showed rounded and bluish ductal lesions that imprint on the biliary lumen, with respected mucosa compatible with portal hypertension cholangiopathy. These findings were confirmed by CT-scan, without evidence of portal thrombosis or cavernomatosis.