Pancreaticoportal fistula and disseminated fat necrosis after revision of a transjugular intrahepatic portosystemic shunt

Seth J. Klein, Nael Saad, Kevin Korenblat, Michael D. Darcy

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A 59-year old man with alcohol related cirrhosis and portal hypertension was referred for transjugular intrahepatic portosystemic shunt (TIPS) to treat his refractory ascites. Ten years later, two sequential TIPS revisions were performed for shunt stenosis and recurrent ascites. After these revisions, he returned with increased serum pancreatic enzyme levels and disseminated superficial fat necrosis; an iatrogenic pancreaticoportal vein fistula caused by disruption of the pancreatic duct was suspected. The bare area of the TIPS was subsequently lined with a covered stent-graft, and serum enzyme levels returned to baseline. In the interval follow-up period, the patient has clinically improved.

Original languageEnglish
Pages (from-to)549-553
Number of pages5
JournalCardiovascular and Interventional Radiology
Volume36
Issue number2
DOIs
StatePublished - Apr 2013

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