Diagnosis and Management of Iatrogenic Hemobilia Secondary to Transjugular Intrahepatic Portosystemic Shunt Procedure.
bleeding
complication
embolization
endovascular
hemobilia
hepatology
iatrogenic
interventional radiology
liver
transjugular intrahepatic portosystemic shunt
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
10 Apr 2020
10 Apr 2020
Historique:
entrez:
14
5
2020
pubmed:
14
5
2020
medline:
14
5
2020
Statut:
epublish
Résumé
A patient with end-stage liver disease and subsequent refractory ascites was treated with a transjugular intrahepatic portosystemic shunt (TIPS) procedure. The procedure was complicated by massive gastrointestinal hemorrhage with associated rettorragia. Computed tomography angiography (CT-A) was performed and revealed haemobilia due to an artero-biliary fistula between the right hepatic artery and an intrahepatic biliary branch. The patient underwent an attempt at percutaneous embolization. Bleeding was successfully stopped by the embolization of the fistula with coils. Hemobilia is a rare cause of upper gastrointestinal bleeding with an increasing incidence due to the widespread use of invasive hepatobiliary procedures. Hemobilia is an uncommon complication of TIPS procedures. Nowadays, transcatheter embolization is the gold standard in the management of hemobilia.
Identifiants
pubmed: 32399361
doi: 10.7759/cureus.7629
pmc: PMC7213657
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e7629Informations de copyright
Copyright © 2020, Puntel et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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