门静脉高压症患者行经颈静脉肝内门体分流术（TIPS）后发生的胆道梗阻
Biliary Obstruction following Transjugular Intrahepatic Portosystemic Shunt Creation in Patients with Variceal Bleeding.
作者信息
Meng Jiaxiang, Yang Shuofei, Ding Weiwei, He Changsheng, Wu Xingjiang
机构信息
Department of General Surgery Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
出版信息
J Vasc Interv Radiol. 2016 Apr;27(4):558-61. doi: 10.1016/j.jvir.2015.12.757.
This report describes an unusual complication after creation of a transjugular intrahepatic portosystemic shunt (TIPS). Biliary obstruction developed in two patients with portal hypertension accompanied by portal vein thrombosis, one patient with and the other without portal cavernous transformation. The biliary obstruction was thought to be secondary to compression of the bile duct by the stent graft placed in the TIPS. Awareness of this possible complication is important for its early diagnosis.
本报告描述了经颈静脉肝内门体分流术（TIPS）术后一种罕见的并发症。两名门静脉高压伴门静脉血栓形成的患者出现了胆管梗阻，其中一名患者伴有门静脉海绵样变性，另一名患者没有。胆管梗阻被认为是由于TIPS置入的支架移植物压迫胆管所致。认识到这种可能的并发症对于早期诊断很重要。
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