Colangiopatía asociada al VIH: un desafío diagnóstico, presentación de caso clínico y revisión de la literatura

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