title: Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation.
abstract: Chylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS in the setting of refractory CA secondary to cirrhosis of a transplanted liver graft. Following TIPS, the patient reported immediate improvement in abdominal pain and no longer requires paracentesis. Our case suggests TIPS to be a safe and effective treatment option for CA in liver transplant patients with cirrhosis.
authors.affiliation: Department of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Jason T
authors.initials: JT
authors.lastname: Salsamendi
authors.affiliation: Department of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Gortes
authors.affiliation: Department of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Prasoon P
authors.initials: PP
authors.lastname: Mohan
authors.affiliation: Department of Surgery, Miami Transplant Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
authors.forename: Ji
authors.initials: J
authors.lastname: Fan
authors.affiliation: Department of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Govindarajan
authors.initials: G
authors.lastname: Narayanan
keywords: Chylous ascites; Cirrhosis; TIPS