Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting

A 29-year-old man with chronic portal venous thrombosis resulting in portal biliopathy required stenting of his common bile duct (CBD) and underwent a transjugular intrahepatic portosystemic shunt (TIPS) procedure to decrease portal pressures. He later presented with abdominal pain in the setting of...

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Autores principales: Issac, Aaron G., Youngblood, Alix, Enunwa, Chidi, Veeramachaneni, Hima, Khare, Anshika, Razvi, Mohammad, Levert, Francis Edward
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10166329/
https://www.ncbi.nlm.nih.gov/pubmed/37168506
http://dx.doi.org/10.14309/crj.0000000000001041
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author Issac, Aaron G.
Youngblood, Alix
Enunwa, Chidi
Veeramachaneni, Hima
Khare, Anshika
Razvi, Mohammad
Levert, Francis Edward
author_facet Issac, Aaron G.
Youngblood, Alix
Enunwa, Chidi
Veeramachaneni, Hima
Khare, Anshika
Razvi, Mohammad
Levert, Francis Edward
author_sort Issac, Aaron G.
collection PubMed
description A 29-year-old man with chronic portal venous thrombosis resulting in portal biliopathy required stenting of his common bile duct (CBD) and underwent a transjugular intrahepatic portosystemic shunt (TIPS) procedure to decrease portal pressures. He later presented with abdominal pain in the setting of prolonged CBD stent placement and was found to have air within his TIPS stent with a fistula on endoscopic retrograde cholangiopancreatography between his fully covered CBD stent and bare metal TIPS stent. There was concern that further intervention would lead to an air embolus. We suggest that when multiple stents are indicated, stent selection with close monitoring is critical.
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spelling pubmed-101663292023-05-09 Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting Issac, Aaron G. Youngblood, Alix Enunwa, Chidi Veeramachaneni, Hima Khare, Anshika Razvi, Mohammad Levert, Francis Edward ACG Case Rep J Case Report A 29-year-old man with chronic portal venous thrombosis resulting in portal biliopathy required stenting of his common bile duct (CBD) and underwent a transjugular intrahepatic portosystemic shunt (TIPS) procedure to decrease portal pressures. He later presented with abdominal pain in the setting of prolonged CBD stent placement and was found to have air within his TIPS stent with a fistula on endoscopic retrograde cholangiopancreatography between his fully covered CBD stent and bare metal TIPS stent. There was concern that further intervention would lead to an air embolus. We suggest that when multiple stents are indicated, stent selection with close monitoring is critical. Wolters Kluwer 2023-05-06 /pmc/articles/PMC10166329/ /pubmed/37168506 http://dx.doi.org/10.14309/crj.0000000000001041 Text en © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Issac, Aaron G.
Youngblood, Alix
Enunwa, Chidi
Veeramachaneni, Hima
Khare, Anshika
Razvi, Mohammad
Levert, Francis Edward
Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting
title Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting
title_full Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting
title_fullStr Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting
title_full_unstemmed Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting
title_short Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting
title_sort bad connection: stent-to-stent fistulization after common bile duct and transjugular intrahepatic portosystemic shunt stenting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10166329/
https://www.ncbi.nlm.nih.gov/pubmed/37168506
http://dx.doi.org/10.14309/crj.0000000000001041
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