Abstract
5 inTroDucTion Transjugular intrahepatic portosystemic shunt (TIPS) is a common procedure used to alleviate the secondary effects of portal hypertension including uncontrolled variceal bleeding, refractory ascites, and hepatic pleural effusion (hydrothorax). There are several well-known complications of TIPS, including portosystemic encephalopathy, hemolytic anemia, hepatic ischemia, and stent thrombosis. In this case report we present a rare but serious complication of TIPS – bilhemia in which bile escapes into the bloodstream through a fistula between the biliary tree and the hepatic venous system.
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