Disappearance of "Pseudocholangiocarcinoma sign" in a patient with portal hypertension due to complete thrombosis of left portal vein and main portalvein web after web dilatation and transjugular intrahepatic portosystemic shunt

The main portal vein web is probably a consequence of portal vein thrombosi s, which is a very rare cause of portal hypertension. Principal manifestati ons are related to the degree of portal hypertension. In the literature, no data has been found for the treatment modality of portal vein web. We repo rt, herein, the clinical and laboratory findings of a 38-year-old woman wit h angiographically proven incomplete main portal vein web and complete thro mbotic occlusion of the left portal vein causing pseudocholangiocarcinoma s ign (PCCS) on the common bile duct. She was treated by transjugular intrahe patic portosystemic shunt (TIPS) and membrane dilatation, which resulted in complete disappearance of collaterals and PCCS. It appears that TIPS and b alloon dilatation of the portal vein web via transjugular approach was effe ctive in decreasing portal pressure and its consequences.