Delayed liver laceration following transjugular intrahepatic portosystemic shunt for portal hypertension

被引：0

作者：

Kai Liu ^{[1
]}

Xin-Xin Fan ^{[1
]}

Xu-Lin Wang ^{[1
]}

Xing-Jiang Wu ^{[1
]}

机构：

[1] Research Institute of General Surgery,Jinling Hospital,Clinical School of Medicine,Nanjing University

来源：

World Journal of Gastroenterology | 2012年 / 48期

关键词：

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

D O I：

暂无

中图分类号：

R657.3 [肝及肝管];

学科分类号：

1002 ; 100210 ;

摘要：

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.

引用

页码：7405 / 7408

页数：4

共 11 条

[1]

Surgical Shunting versus Transjugular Intrahepatic Portasystemic Shunting for Bleeding Varices Resulting from Portal Hypertension and Cirrhosis: A Meta-Analysis[J] . Clark,Whalen,Hernandez,Jonathan,McKeon,Brianne,Villadolid,Desiree,Al-Saadi,Sam,Mullinax,John,Ross,Sharona B,Rosemurgy,Alexander S.The American Surgeon . 2010 (8)

[2]

Liver Transplantation Due to Iatrogenic Injuries: Two Case Reports[J] . F. Di Benedetto,A. Mimmo,G. D’Amico,N. De Ruvo,N. Cautero,R. Montalti,G.P. Guerrini,R. Ballarin,M. Spaggiari,G. Tarantino,V. Serra,A. Pecchi,M. De Santis,G.E. Gerunda.Transplantation Proceedings . 2010 (4)

[3] Favorable clinical outcome using a covered stent following transjugular intrahepatic portosystemic shunt in patients with portal hypertension [J].

Wu, Xingjiang ;

Ding, Weiwei ;

Cao, Jianmin ;

Han, Jianmin ;

Huang, Qian ;

Li, Ning ;

Li, Jieshou .

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2010, 17 (05) :701-708

[4]

The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension: Update 2009[J] . Thomas D. Boyer,Ziv J. Haskal.Hepatology . 2009 (1)

[5] Combined TIPS with portal-azygous disconnection improved the long term clinical outcome in portal hypertension patients [J].

Wu, Xingjiang ;

Han, Jianmin ;

Cao, Jianmin ;

Wu, Xuehao ;

Li, Weisu ;

Sun, Jinmei ;

Li, Jieshou .

JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY, 2009, 16 (06) :858-864

[6]

992 AN EARLY DECISION FOR PTFE-TIPS IMPROVES SURVIVAL IN HIGH RISK CIRRHOTIC PATIENTS ADMITTED WITH AN ACUTE VARICEAL BLEEDING. A MULTICENTER RCT[J] . J.C. Garcia-Pagan,K. Caca,C. Bureau,W. Laleman,T. Sauerbruch,A. Luca,F. Nevens,J.P. Vinel,J. Bosch,on behalf of the Variceal Bleeding Cooperative Study Group.Journal of Hepatology . 2008

[7] Late intrahepatic hematoma complicating transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome [J].

Terreni, Natalia ;

Vangeli, Marcello ;

Raimondo, Maria Luisa ;

Tibballs, Jonathan M. ;

Patch, David ;

Burroughs, Andrew K. .

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2007, 30 (05) :1065-1069

[8]

American Association for the Study of Liver Diseases Practice Guidelines: The Role of Transjugular Intrahepatic Portosystemic Shunt Creation in the Management of Portal Hypertension[J] . Thomas D. Boyer,Ziv J. Haskal.Journal of Vascular and Interventional Radiology . 2005 (5)

[9]

Transjugular Intrahepatic Portosystemic Shunt (TIPS): Current Status and Future Possibilities[J] . José Ignacio Bilbao,Jorge Quiroga,José Ignacio Herrero,Alberto Benito.CardioVascular and Interventional Radiology . 2002 (4)

[10] Active intrahepatic gadolinium extravasation following TIPS [J].

Hasegawa, S ;

Eisenberg, LB ;

Semelka, RC .

MAGNETIC RESONANCE IMAGING, 1998, 16 (07) :851-853

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