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Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication

Cirrhosis affects more than 630,000 adults globally and can lead to development of ascites. Transjugular intrahepatic portosystemic shunt (TIPS) is an alternative option for refractory ascites in patients who are ineligible or are waiting for liver transplants. However, this procedure can have serio...

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Detalles Bibliográficos
Autores principales: Shah, Kushang, Jin, Michael X, Bright, Rachel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8405414/
https://www.ncbi.nlm.nih.gov/pubmed/34513380
http://dx.doi.org/10.7759/cureus.16759
Descripción
Sumario:Cirrhosis affects more than 630,000 adults globally and can lead to development of ascites. Transjugular intrahepatic portosystemic shunt (TIPS) is an alternative option for refractory ascites in patients who are ineligible or are waiting for liver transplants. However, this procedure can have serious complications. We present a case that highlights the development of a complex pleural effusion complicated by hemorrhagic shock and disseminated intravascular coagulation after TIPS in a 54-year-old man. Our case is the first to report such a complication and aims to provide awareness.