Microangiopathic Hemolytic Anemia Following Transjugular Intrahepatic Portosystemic Shunt Creation in an Adolescent.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-05-07 eCollection Date: 2025-05-01 DOI:10.14309/crj.0000000000001685

Jing Y Khoo, Mark L Lessne, Vani V Gopalareddy

引用次数: 0

Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) creation is an effective approach to address the complications of portal hypertension. This case report describes an adolescent boy who underwent TIPS creation with an expanded polytetrafluorethylene-lined stent graft for portal hypertension secondary to sinusoidal obstruction syndrome. He subsequently developed microangiopathic hemolytic anemia, an uncommon complication of covered stents that is not well reported in the pediatric population. Despite its rarity and typical conservative management, microangiopathic hemolytic anemia should be considered and regularly monitored in the months following TIPS creation in pediatric patients.

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青少年经颈静脉肝内门静脉系统分流术后的微血管病溶血性贫血。

经颈静脉肝内门静脉系统分流术是解决门静脉高压症并发症的有效方法。本病例报告描述了一名青少年男孩，他接受了扩张聚四氟乙烯内衬支架的TIPS创建，以治疗继发于窦状静脉阻塞综合征的门静脉高压。他随后发展为微血管病溶血性贫血，这是一种罕见的覆盖支架并发症，在儿科人群中没有很好的报道。尽管其罕见和典型的保守管理，微血管病溶血性贫血应考虑和定期监测在儿科患者TIPS创建后的几个月。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.