Colestasis tras la colocación de un TIPS en paciente con colangitis esclerosante primariauna complicación infrecuente

  1. Alejandro Salagre García 1
  2. Carolina Muñoz Codoceo 1
  3. Elena Gómez Domínguez 1
  4. Inmaculada Fernández 1
  5. Gregorio Castellano Tortajada 1
  1. 1 Hospital Universitario “12 de Octubre”. Madrid
Journal:
Revista Española de Enfermedades Digestivas

ISSN: 2340-416 1130-0108

Year of publication: 2018

Volume: 110

Issue: 2

Pages: 124-126

Type: Article

More publications in: Revista Española de Enfermedades Digestivas

Abstract

We present the case of a patient with primary sclerosing cholangitis who presented a rapidly evolving cholestatic syndrome, with severe hyperbilirubinemia after placing a TIPS. It was resolved with a biliary prosthesis inserted by ERCP. To date, no similar cases have been described in the literature, as it is a rare complication and, on the other hand, the experience with TIPS in patients with PSC is limited. The causes of hyperbilirubinemia after TIPS placement are very varied and it is crucial to perform a differential diagnosis to establish an early treatment.