Intrahepatic hematoma secondary to transjugular intrahepatic portosystemic stent–shunt procedure: Case report and literature review

Transjugular intrahepatic portosystemic stent–shunt (TIPSS) is a minimally invasive procedure used for the treatment of portal hypertension. Intrahepatic hematoma is the rare complication caused by hepatic arterial injuries from TIPSS procedure. PATIENT CONCERNS: This case report illustrated a 77-year-old man with hepatitis B virus-induced cirrhosis who underwent TIPSS. DIAGNOSES: The patient suffered from intrahepatic hematoma and hepatic pseudoaneurysm because of the hepatic artery injury after TIPSS. INTERVENTIONS: The hepatic artery laceration began at the level of the branch of the left hepatic artery was embolized. OUTCOMES: The acute intrahepatic hematoma and hepatic pseudoaneurysm of the patient were cured. CONCLUSION: In this report, we describe a cirrhosis patient with a large intrahepatic hematoma secondary to TIPSS, and a literature review is also presented. The intrahepatic hematoma and hepatic pseudoaneurysm should be paid more attention after TIPSS while early-stage prevention should be carried out.