Year 2018 / Volume 110 / Number 2
Case Report
Cholestasis after TIPS placement in a patient with primary sclerosing cholangitis: an uncommon complication

124-126

DOI: 10.17235/reed.2017.5159/2017

Alejandro Salagre García, Carolina Muñoz Codoceo, Elena Gómez Domínguez, Inmaculada Fernández Vázquez, Gregorio Castellano Tortajada,

Abstract
We present the case of a patient with primary sclerosing cholangitis who presented a rapidly evolving cholestatic syndrome, with severe hyperbilirubinemia after placing a TIPS. It was resolved with a biliary prosthesis inserted by ERCP. To date, no similar cases have been described in the literature, as it is a rare complication and, on the other hand, the experience with TIPS in patients with PSC is limited. The causes of hyperbilirubinemia after TIPS placement are very varied and it is crucial to perform a differential diagnosis to establish an early treatment.
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References
1. Boyer TD, Haskal ZJ, American Association for the Study of Liver Diseases. The role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension. Hepatology 2005; 41: 386-400.
2. Peynircioglu B, Cho KJ, Cwikiel W. Portal hypertension and obstructive jaundice after hepatic interventions: Report of two unusual complications. J Vasc Interv Radiol 2007; 18:567–571.
3. Duller D, Kniepeiss D, Lackner C, et al. Biliary obstruction as a complication of transjugular intrahepatic portosystemic shunt. Liver Transpl 2009; 15:556–557.
4. Singal AK, Kathuria MK, Malhotra A et al. Bilhemia after transjugular intrahepatic portosystemic shunt and its management with biliary decompression. World J Gastroenterol. 2009;15(29):3681–3.
5. Mallery S, Freeman ML, Peine CJ, et al. Biliary-shunt fistula following transjugular intrahepatic portosystemic shunt placement. Gastroenterology. 1996;111(5):1353–7.
6. Zhang M, Valentino MA. Bilhemia: A Rare Complication of Transjugular Intraheptic Portosytemic Shunt. ACG Case Rep J. 2015 Oct 9;3(1):60-2. doi: 10.14309/crj.2015.101. eCollection 2015 Oct.
7. Jawaid Q, Saeed ZA, Di Bisceglie AM, et al. Biliary-venous fistula complicating transjugular intrahepatic portosystemic shunt presenting with recurrent bacteremia, jaundice, anemia and fever. Am J Transplant. 2003;3(12):1604–7
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Salagre García A, Muñoz Codoceo C, Gómez Domínguez E, Fernández Vázquez I, Castellano Tortajada G. Cholestasis after TIPS placement in a patient with primary sclerosing cholangitis: an uncommon complication. 5159/2017


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Publication history

Received: 05/07/2017

Accepted: 26/10/2017

Online First: 26/12/2017

Published: 31/01/2018

Article revision time: 107 days

Article Online First time: 174 days

Article editing time: 210 days


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