Author/Authors :
Kim، Eunyoung نويسنده Department of Internal Medicine, College of Medicine, The
Catholic University of Korea, Seoul, Republic of
Korea , , Lee، Sung Won نويسنده Department of Internal Medicine, College of Medicine, The
Catholic University of Korea, Seoul, Republic of
Korea , , Kim، Woo Hyeon نويسنده Department of Internal Medicine, College of Medicine, The
Catholic University of Korea, Seoul, Republic of
Korea , , Bae، Si Hyun نويسنده Department of Internal Medicine, College of Medicine, The
Catholic University of Korea, Seoul, Republic of
Korea , , Han، Nam Ik نويسنده Department of Internal Medicine, College of Medicine, The
Catholic University of Korea, Seoul, Republic of
Korea , , Oh، Jung Suk نويسنده Department of Radiology, College of Medicine, The Catholic
University of Korea, Seoul, Republic of Korea , , Chun، Ho Jong نويسنده Department of Radiology, College of Medicine, The Catholic
University of Korea, Seoul, Republic of Korea , , Lee، Hae Giu نويسنده Department of Radiology, College of Medicine, The Catholic
University of Korea, Seoul, Republic of Korea ,
Abstract :
A 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.
