A Fistula from the Portal Vein to the Bile Duct: an Unusual Complication of Transjugular Intrahepatic Portosystemic Shunt

Overview

Journal Am J Gastroenterol

Specialty Gastroenterology

Date 1998 Oct 15

PMID 9772063

Citations 14

Authors

I R Willner

R F Werkman

W Z Taylor

C A Riely

Affiliations

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Abstract

We describe a case of a portal vein bile duct fistula as a complication of transjugular intrahepatic portosystemic shunt (TIPS) placement. The patient's course was complicated by endocarditis, hemobilia, recurrent episodes of fever, and bacteremia, followed by liver transplant. The findings of fever, bacteremia (especially with Gram-negative organisms), and a decreased hematocrit after shunt placement should raise the suspicion of an infected shunt with a possible fistula.

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