Biliary obstruction following transjugular intrahepatic portosystemic shunt placement in a patient after liver transplantation:A case report

作     者：Peter Macinga Darina Gogova Jan Raupach Jana Jarosova Libor Janousek Eva Honsova Pavel Taimr Julius Spicak Jiri Novotny Jan Peregrin Tomas Hucl 

作者机构：Department of Gastroenterology and HepatologyInstitute for Clinical and Experimental MedicinePrague 14021Czech Republic Department of RadiologyUniversity HospitalHradec Kralove 50005Czech Republic Department of Transplant SurgeryInstitute for Clinical and Experimental MedicinePrague 14021Czech Republic Department of PathologyInstitute for Clinical and Experimental MedicinePrague 14021Czech Republic Department of Diagnostic and Interventional RadiologyInstitute for Clinical and Experimental MedicinePrague 14021Czech Republic 

出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第5期

页      面：1038-1046页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by Czech Health Research Council No.17-30281A 

主　　题：Biliary stricture Transjugular intrahepatic portosystemic shunt Liver trans-plantation Sinusoidal obstruction syndrome Literature review Case report 

摘      要：BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)is a method used to decrease portal *** stricture is the rarest of the complications associated with this procedure with only 12 cases previously reported in the *** of these cases have documented the resolution of biliary stenosis induced by a stent *** only curative solutions reported are liver transplantation or bypassing the stenosis with an artificial biliary tract using advanced endoscopic *** SUMMARY This is the first reported case of biliary obstruction secondary to TIPS placement in a transplanted *** our patient,a portosystemic shunt was created to treat severe veno-occlusive liver graft disease manifesting itself primarily by fluid retention.A cholestatic liver lesion and cholangitis with abscesses developed due to a stent graft-induced stricture in the dorsal segment of the right hepatic duct and the stricture diminished following percutaneous *** drainage was performed after unsuccessful removal of the percutaneous catheter resulting in a bilio-cutaneous *** the liver graft now functions well,the stricture remains refractory even after 44 mo of *** Biliary strictures caused by TIPS in both transplanted and native livers seem refractory to endoscopic treatment.