TIPS置入后动脉-胆道瘘：罕见但严重的并发症。

IF 2.7 4区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-19 DOI:10.17235/reed.2025.11125/2025

Elisa Antolinos Macho, Abel González Huete, Alberto Velasco Hernández, José Montilla

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引用次数: 0

摘要

一位54岁男性肝硬化和门静脉高压症患者在经颈静脉肝内门静脉系统分流术（TIPS）置入后复发性上消化道出血。随后出现严重贫血和低血压，影像学显示肝动脉假性动脉瘤和动脉胆道瘘。动脉胆道瘘虽然罕见，但通常是与创伤或医源性损伤有关的严重并发症。该病例强调了tips术后高危患者早期识别、影像学和多学科管理的重要性，以防止灾难性后果。

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Arterio-biliary fistula after TIPS placement: a rare but serious complication.

A 54-year-old male with cirrhosis and portal hypertension developed recurrent upper GI bleeding after transjugular intrahepatic portosystemic shunt (TIPS) placement. Severe anemia and hypotension ensued, with imaging revealing a hepatic artery pseudoaneurysm and arterio-biliary fistula. Arterio-biliary fistulas, though rare, are serious complications often linked to trauma or iatrogenic injury. This case highlights the importance of early recognition, imaging, and multidisciplinary management in high-risk post-TIPS patients to prevent catastrophic outcomes.

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来源期刊

Revista Espanola De Enfermedades Digestivas 医学-胃肠肝病学

CiteScore

2.00

自引率

25.00%

发文量

400

审稿时长

6-12 weeks

期刊介绍： La Revista Española de Enfermedades Digestivas, Órgano Oficial de la Sociedad Española de Patología Digestiva (SEPD), Sociedad Española de Endoscopia Digestiva (SEED) y Asociación Española de Ecografía Digestiva (AEED), publica artículos originales, editoriales, revisiones, casos clínicos, cartas al director, imágenes en patología digestiva, y otros artículos especiales sobre todos los aspectos relativos a las enfermedades digestivas.