J. Clin. Med. 2012, 1(1), 15-21; doi:10.3390/jcm1010015
Case Report

Hemobilia Secondary to Transjugular Intrahepatic Portosystemic Shunt Procedure: A Case Report

* email, email, email, email, email, email and * email
Received: 3 August 2012; in revised form: 18 September 2012 / Accepted: 20 September 2012 / Published: 10 October 2012
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: A 59 year-old woman with liver cirrhosis due to hepatitis C, complicated by refractory hepatic hydrothorax was treated with a TIPS (transjugular intrahepatic portosystemic shunt) procedure. The procedure was complicated by substantial gastrointestinal hemorrhage. EGD (esophagogastroduodenoscopy) was performed and revealed hemobilia. A hepatic angiogram was then performed revealing a fistulous tract between a branch of the hepatic artery and biliary tree. Bleeding was successfully stopped by embolization of the bleeding branch of the right hepatic artery. 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 especially uncommon complication of TIPS procedures. We recommend that in cases of hemobilia after TIPS placement, a physician should immediately evaluate the bleeding to exclude an arterio-biliary fistula.
Keywords: hemobilia; hemetemesis; TIPS (transjugular intrahepatic portosystemic shunt); hepatic artery embolization
PDF Full-text Download PDF Full-Text [379 KB, uploaded 10 October 2012 10:30 CEST]

Export to BibTeX |
EndNote


MDPI and ACS Style

Kaswala, D.; Gandhi, D.; Moroianu, A.; Patel, J.; Patel, N.; Klyde, D.; Brelvi, Z. Hemobilia Secondary to Transjugular Intrahepatic Portosystemic Shunt Procedure: A Case Report. J. Clin. Med. 2012, 1, 15-21.

AMA Style

Kaswala D, Gandhi D, Moroianu A, Patel J, Patel N, Klyde D, Brelvi Z. Hemobilia Secondary to Transjugular Intrahepatic Portosystemic Shunt Procedure: A Case Report. Journal of Clinical Medicine. 2012; 1(1):15-21.

Chicago/Turabian Style

Kaswala, Dharmesh; Gandhi, Divyang; Moroianu, Andrew; Patel, Jina; Patel, Nitin; Klyde, David; Brelvi, Zamir. 2012. "Hemobilia Secondary to Transjugular Intrahepatic Portosystemic Shunt Procedure: A Case Report." J. Clin. Med. 1, no. 1: 15-21.

J. Clin. Med. EISSN 2077-0383 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert