A fistula from the portal vein to the bile duct: an unusual complication of transjugular intrahepatic portosystemic shunt.
case_report · Level V
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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.
Medical subject headings
- Bile Ducts
- Biliary Fistula
- Portal Vein
- Portasystemic Shunt, Transjugular Intrahepatic
- Vascular Fistula