title: Delayed liver laceration following transjugular intrahepatic portosystemic shunt for portal hypertension.
abstract: 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.
authors: Research Institute of General Surgery, Jinling Hospital, Clinical School of Medicine, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors: Kai
authors: K
authors: Liu
authors: Xin-Xin
authors: XX
authors: Fan
authors: Xu-Lin
authors: XL
authors: Wang
authors: Chang-Sheng
authors: CS
authors: He
authors: Xing-Jiang
authors: XJ
authors: Wu
mesh_terms: D004932:Esophageal and Gastric Varices / Q000150:complications / Q000209:etiology; D005260:Female; D005773:Gastroscopy; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D022125:Lacerations / Q000209:etiology*; D008099:Liver / Q000293:injuries*; D008103:Liver Cirrhosis / Q000150:complications*; D008875:Middle Aged; D010690:Phlebography; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Hemorrhage; Liver cirrhosis; Portal hypertension; Postoperative complications; Transjugular intrahepatic portosystemic shunt