Infarction and laceration of liver parenchyma caused by wedged CO(2) venography before tips insertion.
We describe the fatal outcome of an elective TIPS procedure performed in a 43-year-old man with alcoholic cirrhosis. Wedged hepatic venography with CO(2) was the reason for infarction and laceration of liver parenchyma resulting in a subcapsular hematoma and subsequent intra-abdominal bleeding. This is the first report of this complication after the use of CO(2) in a cirrhotic patient.
Theuerkauf
I
I
Department of Pathology, University of Bonn, Sigmund-Freud-Strasse 25, D-53127 Bonn, Germany. ingo-theuerkauf@gmx.de
Strunk
H
H
Brensing
K A
KA
Schild
H H
HH
Pfeifer
U
U
D000328:Adult; D002245:Carbon Dioxide; D006801:Humans; D007238:Infarction / Q000209:etiology*; D022125:Lacerations / Q000209:etiology*; D008099:Liver / Q000098:blood supply* / Q000293:injuries*; D008297:Male; D010690:Phlebography / Q000009:adverse effects* / Q000379:methods; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011300:Preoperative Care / Q000009:adverse effects*
D002245:Carbon Dioxide