1.
Am J Gastroenterol
; 93(10): 1952-5, 1998 Oct.
Article
in English
| MEDLINE
| ID: mdl-9772063
ABSTRACT
We describe a case of a portal vein bile duct fistula as a complication of transjugular intrahepatic portosystemic shunt (TIPS) placement. The patient's course was complicated by endocarditis, hemobilia, recurrent episodes of fever, and bacteremia, followed by liver transplant. The findings of fever, bacteremia (especially with Gram-negative organisms), and a decreased hematocrit after shunt placement should raise the suspicion of an infected shunt with a possible fistula.