JDMS Article - SDMS CME Credit

Article: Portal Hypertensive Cholangiopathy, Which Masquerades as an Acute Portal Vein Thrombosis

Authors: Kamila I. Cisak, MD, Thanila A. Macedo, MD, Shannon P. Sheedy, MD, Patrick S. Kamath, MD, and Aneel A. Ashrani, MD, MS

Category: Vascular [VT]

Credit: 0.5 SDMS CME Credit

Objectives: After studying the article entitled “Portal Hypertensive Cholangiopathy, Which Masquerades as an Acute Portal Vein Thrombosis,” you will be able to:

1. Identify diagnostic imaging modalities used to confirm portal hypertensive cholangiopathy

2. Discuss presenting symptoms of portal hypertensive cholangiopathy

3. Discuss other conditions associated with portal hypertensive cholangiopathy

1. The majority of the patients with portal hypertensive cholangiopathy are:

2. B. Contagious

3. C. Symptomatic

4. D. Asymptomatic

Which modality was considered the gold standard for diagnosing portal hypertensive cholangiopathy?

A. Abdominal sonography with Doppler

B. Endoscopic retrograde cholangiogram (ERCP)

C. Computed tomography (CT)

D. Magnetic resonance cholangiopancreatography (MRCP)

Portal hypertensive cholangiopathy occurs in a high percentage of patients with what other condition?

A. Extrahepatic portal vein obstruction

B. Choledocholithiasis

C. Cirrhotic portal hypertension

D. Sclerosing cholangitis

What is an advantage of using spectral Doppler to aid the diagnosis of portal hypertensive cholangiopathy?

A. Helps detect gallbladder varices

B. Helps detect ductal dilatation and strictures

C. Helps distinguish between vascular cavernoma and tubular biliary duct

D. Helps identify bile duct stones

Scarring of the biliary tree can result from portal cavernoma. Which duct is more commonly and severely affected?

A. Common bile

B. Right hepatic

C. Common hepatic

D. Left hepatic