A case of probable endotipsitis after transjugular intrahepatic portasystemic shunt.
- Author:
Dong In KIM
1
;
Byeong Mahn LEE
;
Jin Woo LEE
;
Kun Hyung CHO
;
Young Chol JO
;
Jung Woo SHIN
;
Mi Suk LEE
Author Information
1. Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. lmsmdr@uuh.ulsan.kr
- Publication Type:Case Report
- Keywords:
Portasystemic Shunt;
Transjugular intrahepatic;
Infection
- MeSH:
Bacteremia;
Catheterization;
Catheters;
Hemorrhage;
Humans;
Hypertension, Portal;
Liver;
Portasystemic Shunt, Surgical;
Portasystemic Shunt, Transjugular Intrahepatic*;
Sepsis;
Stents;
Varicose Veins
- From:Korean Journal of Medicine
2006;70(2):232-236
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transjugular intrahepatic portasystemic shunt (TIPS) is a procedure that inserts an expandable metallic stent into the liver parenchyme by transjugular catheterization. During the past decade, TIPS has been accepted as an alternative to the surgical shunt procedure for controlling the complications of portal hypertension and has become more widely performed. Complications of TIPS include encephalopathy, bleeding, deterioration of liver function and infection. Although periprocedual sepsis has been known since the early days of TIPS stenting, infection by the TIPS device itself has only recently been recognized because of its rare occurrence. The definition of endotipsitis makes it possible to classify it into two groups: definite and probable infection. We report a case of probable endotipsitis with relapsing bacteremia after TIPS for uncontrolled varix bleeding. If relapsing bacteremia without any other clearly attributable source occurs in a patient with TIPS, the possibility of endotipsitis is considered.
