Hepatic Infarction after Transjugular Intrahepatic Shunt Creation

Abstract

A 23-year-old woman with recent onset of ascites was diagnosed with Budd-Chiari syndrome using ultrasonography, with a patent inferior vena cava but occlusion of all major hepatic veins. She underwent transjugular intrahepatic shunt creation and afterwards developed hypotension and abdominal distension. Computed tomography (CT) showed intraperitoneal hemorrhage and infarction of the caudate lobe (Fig 1–3). The left hepatic artery supplying the Spiegel lobe was attenuated, and no arterial supply to the caudate process was visualized.