Transjugular Intrahepatic Portosystemic Shunt Occlusion Complicated with Biliary Fistula Successfully Treated with a Stent Graft: A Case Report

AuthorEunyoung Kimen
AuthorSung Won Leeen
AuthorWoo Hyeon Kimen
AuthorSi Hyun Baeen
AuthorNam Ik Hanen
AuthorJung Suk Ohen
AuthorHo Jong Chunen
AuthorHae Giu Leeen
Issued Date2016-01-01en
AbstractA 43-year-old man with liver cirrhosis received transjugular intrahepatic portosystemic shunt (TIPS) for the treatment of recurrent variceal bleeding and F3 esophageal varices. During routine follow up liver ultrasound examination, six months after the implantation, TIPS occlusion was suspected and TIPS revision was performed. During the revision, moderate to severe stenosis at the hepatic venous segment of the tract and a total occlusion at the parenchymal segment of TIPS tract near the portal vein with biliary-TIPS fistula were identified with a clear visualization of the common bile duct. After the successful TIPS revision with the placement of an additional stent-graft, the biliary fistula and common bile duct were no more delineated. We herein report a rare case with an obvious visualization of biliary-TIPS fistula associated with obstruction of TIPS shunt on the tractogram and recanalization with an additional stent-graft.en
DOIhttps://doi.org/10.5812/iranjradiol.28993en
KeywordStenosisen
KeywordFistulaen
KeywordPortosystemicen
KeywordTransjugular Intrahepaticen
PublisherBrieflandsen
TitleTransjugular Intrahepatic Portosystemic Shunt Occlusion Complicated with Biliary Fistula Successfully Treated with a Stent Graft: A Case Reporten
TypeCase Reporten

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