Intra-hepatic haematoma complicating transjugular intra-hepatic portosystemic shunt for Budd-Chiari syndrome associated with anti-phospholipid antibodies, aplastic anaemia and chronic hepatitis C

Eur J Gastroenterol Hepatol. 2000 Jul;12(7):813-6. doi: 10.1097/00042737-200012070-00017.

Abstract

Portal venous decompression with transjugular intra-hepatic portosystemic shunt (TIPS) is a new approach in the treatment of Budd-Chiari syndrome. We report on a 31-year-old female with Budd-Chiari syndrome due to anti-phospholipid antibodies with compression of the inferior vena cava treated with TIPS and stenting of the inferior vena cava. TIPS was complicated by massive intra-hepatic haematoma which was managed conservatively. Treatment options and pathogenic mechanisms of Budd-Chiari syndrome under the rare coincidence of aplastic anaemia and anti-phospholipid syndrome are discussed. TIPS may be considered for venous decompression in Budd-Chiari syndrome, but physicians should be aware of potential TIPS' complications in these patients.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anemia, Aplastic / complications
  • Anemia, Aplastic / diagnosis
  • Angiography
  • Antibodies, Antiphospholipid / blood
  • Anticoagulants / administration & dosage
  • Budd-Chiari Syndrome / complications
  • Budd-Chiari Syndrome / diagnosis
  • Budd-Chiari Syndrome / surgery*
  • Female
  • Follow-Up Studies
  • Hematoma / diagnostic imaging
  • Hematoma / drug therapy
  • Hematoma / etiology*
  • Hepatitis C, Chronic / complications
  • Hepatitis C, Chronic / diagnosis
  • Humans
  • Liver Diseases / diagnostic imaging
  • Liver Diseases / drug therapy
  • Liver Diseases / etiology*
  • Liver Function Tests
  • Portasystemic Shunt, Transjugular Intrahepatic / adverse effects*
  • Portasystemic Shunt, Transjugular Intrahepatic / methods
  • Treatment Outcome
  • Ultrasonography

Substances

  • Antibodies, Antiphospholipid
  • Anticoagulants