Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting-Reference-Cited by-同舟云学术

Bad Connection: Stent-to-Stent Fistulization After Common Bile Duct and Transjugular Intrahepatic Portosystemic Shunt Stenting

Published:2023-05 Issue:5 Volume:10 Page:e01041
ISSN:2326-3253
Container-title:ACG Case Reports Journal
language:en
Short-container-title:ACG Case Rep J

Author:

Issac Aaron G.¹,Youngblood Alix¹,Enunwa Chidi¹,Veeramachaneni Hima²,Khare Anshika²,Razvi Mohammad²,Levert Francis Edward²

Affiliation:

1. Department of Medicine, Emory University School of Medicine, Atlanta, GA

2. Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA

Abstract

ABSTRACT A 29-year-old man with chronic portal venous thrombosis resulting in portal biliopathy required stenting of his common bile duct (CBD) and underwent a transjugular intrahepatic portosystemic shunt (TIPS) procedure to decrease portal pressures. He later presented with abdominal pain in the setting of prolonged CBD stent placement and was found to have air within his TIPS stent with a fistula on endoscopic retrograde cholangiopancreatography between his fully covered CBD stent and bare metal TIPS stent. There was concern that further intervention would lead to an air embolus. We suggest that when multiple stents are indicated, stent selection with close monitoring is critical.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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