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:
Internal Medicine
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
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author Shah, Kushang
Jin, Michael X
Bright, Rachel
author_facet Shah, Kushang
Jin, Michael X
Bright, Rachel
author_sort Shah, Kushang
collection PubMed
description 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.
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spelling pubmed-84054142021-09-09 Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication Shah, Kushang Jin, Michael X Bright, Rachel Cureus Internal Medicine 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. Cureus 2021-07-30 /pmc/articles/PMC8405414/ /pubmed/34513380 http://dx.doi.org/10.7759/cureus.16759 Text en Copyright © 2021, Shah et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Shah, Kushang
Jin, Michael X
Bright, Rachel
Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication
title Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication
title_full Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication
title_fullStr Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication
title_full_unstemmed Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication
title_short Large Pleural Effusion After Transjugular Intrahepatic Portosystemic Shunt, a Rare but Deadly Complication
title_sort large pleural effusion after transjugular intrahepatic portosystemic shunt, a rare but deadly complication
topic Internal Medicine
url 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
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