Bilhemia: A Rare Complication of Transjugular Intraheptic Portosytemic Shunt.
A 56-year-old woman with cirrhosis due to chronic hepatitis C underwent emergent transjugular intrahepatic portosystemic shunt (TIPS) due to a ruptured esophageal varix during esophagogastroduodenoscopy. Following TIPS, the patient experienced a rapid rise in serum bilirubin with no evidence of biliary obstruction or hepatic injury. She was determined to have bilhemia, a rare but serious complication of TIPS.
Department of Internal Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
Michael
M
Zhang
Department of Internal Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
Michael A
MA
Valentino