PORTAL BILIOPATHY, A RARE COMPLICATION IN CASES OF CLD WITH PORTAL HYPERTENSION - A CT SCAN BASED STUDY FROM LIAQUAT NATIONAL HOSPITAL, KARACHI

Abstract

Objective:

The aim of this study was to record the incidence of portal biliopathy in cases of chronic liver diseases (CLD) with portal hypertension, that presented to a tertiary care hospital over a period of 2 years.    

Methods:

A retrospective, cross-sectional study was performed on data collected from computerized records and CT scan images of cases of CLD. The data was collected from 30^th September 2013 to 30^th September 2015. The study center was the Department of Radiology, at Liaquat National Hospital, Karachi, Pakistan.

Results:

A total of 294 patients presented to Liaquat National Hospital, Department of Radiology with the history of chronic liver disease over a period of 2 years. The median age of presentation was 54.50 years. The sample consisted of 160 males (54.42%) and 134 females (45.57%). 264 patients were found to have portal hypertension with varices. Only 03 female patients were found to have cavernous transformation of portal vein with portal biliopathy. Portal vein thrombosis was seen in 42 patients. Regenerating nodules were seen in 36 patients and hepatomas in 98 patients.

Conclusion:

The incidence of portal biliopathy is rare and is very low, but not uncommon in patients of chronic liver disease with portal hypertension and cannot be disregarded. Timely diagnosis and management will be useful to lower morbidity and mortality.

KEYWORDS: Portal biliopathy, Complication, CLD, Portal hypertension, CT scan