HIV-associated cholangiopathy: a diagnostic challenge, clinical case presentation and literature review

Authors

  • David Esteban Barzallo Sánchez Medico. Especialista en Cirugía General. Alta especialidad en Cirugía Hepato-pancreato-biliar. Hospital de Especialidades José Carrasco Arteaga. Unidad de Cirugía General
  • Karla del Cisne Martinez Gaona Médica. Universidad de Cuenca. Egresada del Posgrado de Cirugía General.

DOI:

https://doi.org/10.18537/RFCM.38.03.08

Keywords:

cholangipancreatography endoscopic retrograde, cholestasis, common bill duct, acquired immunodeficiency syndromem

Abstract

Introduction: infection by the human immunodeficiency virus (HIV) produces biliary stasis secondary to structural damage to the bile ducts.

Clinical Case: a 53-year-old male with a history of HIV and type 2 diabetes mellitus, presented with colicky pain in the left upper quadrant, diarrheal stools, weight loss, coluria, jaundice, an elevated cholestatic pattern, and infectious urinalysis. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a common bile duct stone plus intrinsic stenosis, a sphincterectomy and stent placement were performed. The pacient was evaluated by the hepato pancreatobiliary surgery service and diagnosed with HIV-associated cholangiopathy. After ERCP, there is adequate control of abdominal pain and a decrease in the cholestatic pattern. Discharge is decided in good condition and outpatient follow-up.

Conclusion: a patient with HIV plus obstructive jaundice, it should be suspected in associated cholangiopathies; ERCP is the method of choice for diagnosis and treatment

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Published

2021-04-06

Issue

Vol. 38 No. 3 (2020): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Clinical Case

License

Copyright (c) 2021 David Esteban Barzallo Sánchez, Karla del Cisne Martinez Gaona

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