Research Institute of General Surgery, Jinling Hospital, Clinical School of Medicine, Nanjing University, Nanjing 210002, Jiangsu Province, China.
World J Gastroenterol. 2012 Dec 28;18(48):7405-8. doi: 10.3748/wjg.v18.i48.7405.
The transjugular intrahepatic portosystemic shunt (TIPS) is an acceptable procedure that has proven benefits in the treatment of patients who have complications from portal hypertension due to liver cirrhosis. Delayed liver laceration is a rare complication of the TIPS procedure. We describe a patient with portal hypertension due to liver cirrhosis, who suddenly presented with abdominal hemorrhage and liver laceration 8 d after TIPS. Few reports have described complications after TIPS placement. To the best of our knowledge, this is the first report describing delayed liver laceration. This potential and serious complication appears to be specific and fatal for TIPS in portal hypertension. We advocate careful attention to the technique to avoid this complication, and timely treatment is extremely important.
经颈静脉肝内门体分流术（TIPS）是一种可接受的手术，已被证明可治疗因肝硬化导致门静脉高压并发症的患者。TIPS 术后迟发性肝裂伤是一种罕见的并发症。我们描述了一位因肝硬化导致门静脉高压的患者，在 TIPS 术后 8 天突然出现腹部出血和肝裂伤。很少有报道描述 TIPS 放置后的并发症。据我们所知，这是首例描述迟发性肝裂伤的报告。这种潜在的严重并发症似乎是 TIPS 在门静脉高压中的特异性和致命性并发症。我们主张谨慎关注技术以避免这种并发症，及时治疗至关重要。
