Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation

Chylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS i...

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Autores principales: Salsamendi, Jason T., Gortes, Francisco J., Mohan, Prasoon P., Fan, Ji, Narayanan, Govindarajan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310239/
https://www.ncbi.nlm.nih.gov/pubmed/28228886
http://dx.doi.org/10.1016/j.radcr.2016.10.010
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author Salsamendi, Jason T.
Gortes, Francisco J.
Mohan, Prasoon P.
Fan, Ji
Narayanan, Govindarajan
author_facet Salsamendi, Jason T.
Gortes, Francisco J.
Mohan, Prasoon P.
Fan, Ji
Narayanan, Govindarajan
author_sort Salsamendi, Jason T.
collection PubMed
description Chylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS in the setting of refractory CA secondary to cirrhosis of a transplanted liver graft. Following TIPS, the patient reported immediate improvement in abdominal pain and no longer requires paracentesis. Our case suggests TIPS to be a safe and effective treatment option for CA in liver transplant patients with cirrhosis.
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spelling pubmed-53102392017-02-22 Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation Salsamendi, Jason T. Gortes, Francisco J. Mohan, Prasoon P. Fan, Ji Narayanan, Govindarajan Radiol Case Rep Case Report Chylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS in the setting of refractory CA secondary to cirrhosis of a transplanted liver graft. Following TIPS, the patient reported immediate improvement in abdominal pain and no longer requires paracentesis. Our case suggests TIPS to be a safe and effective treatment option for CA in liver transplant patients with cirrhosis. Elsevier 2016-11-18 /pmc/articles/PMC5310239/ /pubmed/28228886 http://dx.doi.org/10.1016/j.radcr.2016.10.010 Text en © 2016 Published by Elsevier Inc. on behalf of under copyright license fromthe University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Salsamendi, Jason T.
Gortes, Francisco J.
Mohan, Prasoon P.
Fan, Ji
Narayanan, Govindarajan
Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_full Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_fullStr Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_full_unstemmed Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_short Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_sort transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310239/
https://www.ncbi.nlm.nih.gov/pubmed/28228886
http://dx.doi.org/10.1016/j.radcr.2016.10.010
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