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Bile Duct Compression and Stenosis Due to Anomalies and Acquired Disorders of the Splanchnic Arterial Tree and the Portal Venous System

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Tumors and Tumor-Like Lesions of the Hepatobiliary Tract

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Abstract

Large bile ducts can be compressed and stenosed by various anomalies and acquired disorders of the splanchnic arterial tree and the portal venous system. Overall, compression of the extrahepatic biliary tract by arteries is a very uncommon condition. Compression may occur by the right hepatic artery resulting in the so-called hepatic duct compression syndrome. Aneurysms of the hepatic artery can cause intrabiliary stenosis and clot formation. Most of aneurysms inducing bile duct stenosis are extrahepatic alterations. Also dissecting aneurysms of the hepatic artery tree may rarely cause obstructive jaundice. Biliary obstruction can also be caused by pseudoaneurysms, cavitated arteriocentric hematomas without endothelial lining. Hepatic artery thrombosis, severe atherosclerosis, chemotherapy-associated vascular damage, and necrotizing arteritis, including periarteritis nodosa, are sometimes followed by bile duct necrosis and duct stenosis. A further cause of vascular obstruction of the biliary tree is portal biliopathy with cavernous transformation of the portal vein.

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  1. University of Bern, Bern, Switzerland

    Arthur Zimmermann

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  1. Arthur Zimmermann
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Zimmermann, A. (2017). Bile Duct Compression and Stenosis Due to Anomalies and Acquired Disorders of the Splanchnic Arterial Tree and the Portal Venous System. In: Tumors and Tumor-Like Lesions of the Hepatobiliary Tract. Springer, Cham. https://doi.org/10.1007/978-3-319-26956-6_145

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  • DOI: https://doi.org/10.1007/978-3-319-26956-6_145

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