A rare case of biliary tract stenosis caused by intraductal varices diagnosed by single-operator per-oral cholangioscopy

A 58-year-old man was referred to the transplantation unit for “urgent” orthotopic liver transplantation because of decompensated alcoholic liver cirrhosis (Model for End-stage Liver Disease score: 26) with signs of portal hypertension: esophageal varices F2, gastric antral vascular ectasia, and splenomegaly. A blood test showed high levels of cholestatic enzymes (alkaline phosphatase 289 U/L), total bilirubin 12.6 mg/dL, and direct bilirubin...