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Case Reports
. 2012 Dec 28;18(48):7405-8.
doi: 10.3748/wjg.v18.i48.7405.

Delayed liver laceration following transjugular intrahepatic portosystemic shunt for portal hypertension

Kai Liu  1 , Xin-Xin Fan, Xu-Lin Wang, Chang-Sheng He, Xing-Jiang Wu
Affiliations
Case Reports

Delayed liver laceration following transjugular intrahepatic portosystemic shunt for portal hypertension

Kai Liu et al. World J Gastroenterol. .

Abstract

The transjugular intrahepatic portosystemic shunt (TIPS) is an acceptable procedure that has proven benefits in the treatment of patients who have complications from portal hypertension due to liver cirrhosis. Delayed liver laceration is a rare complication of the TIPS procedure. We describe a patient with portal hypertension due to liver cirrhosis, who suddenly presented with abdominal hemorrhage and liver laceration 8 d after TIPS. Few reports have described complications after TIPS placement. To the best of our knowledge, this is the first report describing delayed liver laceration. This potential and serious complication appears to be specific and fatal for TIPS in portal hypertension. We advocate careful attention to the technique to avoid this complication, and timely treatment is extremely important.

Keywords: Hemorrhage; Liver cirrhosis; Portal hypertension; Postoperative complications; Transjugular intrahepatic portosystemic shunt.

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Figures

Figure 1
Figure 1
Gastroscopy showing severe esophageal and gastric varices.
Figure 2
Figure 2
Portal venous-phase computed tomography and portal venography. A: Portal venous-phase computed tomography showing classical appearance of portal hypertension with liver cirrhosis and splenomegaly; B: Portal venography showing the anatomy and direction of portal flow.
Figure 3
Figure 3
Completion venography of transjugular intrahepatic portosystemic shunt showing good flow and no contrast extravasation.
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References

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