Hemobilia Secondary to Transjugular Intrahepatic Portosystemic Shunt Procedure: A Case Report

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Hemobilia Secondary to Transjugular Intrahepatic Portosystemic Shunt Procedure: A Case Report

A 59 year-old woman with liver cirrhosis due to hepatitis C, complicated by refractory hepatic hydrothorax was treated with a TIPS (transjugular intrahepatic portosystemic shunt) procedure. The procedure was complicated by substantial gastrointestinal hemorrhage. EGD (esophagogastroduodenoscopy) was performed and revealed hemobilia. A hepatic angiogram was then performed revealing a fistulous t...

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Transjugular intrahepatic portosystemic shunt.

The transjugular intrahepatic portosystemic shunt (TIPS) is an interventional treatment resulting in decompression of the portal system by creation of a side-to-side portosystemic anastomosis. Since its introduction 16 years ago, more than 1,000 publications have appeared demonstrating broad acceptance and increasing clinical use. This review summarizes our present knowledge about technical asp...

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Surgery for portal hypertension began in 1877, with Nicolai Vladirmirovich who performed the fi rst portacaval anastomosis. There was little clinical success until Blakemore and Whipple between the 1920’s and 1940’s: the mortality rate ranged from 25-40%. Hepatic encephalopathy was a clinical problem. In 1960, Warren and collegues performed a distal splenorenal shunt, which reduced the incidenc...

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ژورنال

عنوان ژورنال: Journal of Clinical Medicine

سال: 2012

ISSN: 2077-0383

DOI: 10.3390/jcm1010015