Biliary Complications Post Transjugular Intrahepatic Portosystemic Shunt in a Child With Portal Vein Cavernous...

Area of Science:

• Interventional Radiology
• Hepatobiliary Medicine
• Pediatric Gastroenterology

Background:

• Transjugular intrahepatic portosystemic shunt (TIPS) is an increasingly utilized interventional procedure for various indications, achieving high technical success rates.
• Despite its efficacy, TIPS carries a risk of biliary injuries, a complication that is infrequently reported in medical literature.
• Standardized management protocols for these rare biliary complications remain underdeveloped due to limited case reporting.

Observation:

• This report details an 11-year-old patient who developed biliary complications, including a biliary leak, biloma formation, and biliary obstruction, following a percutaneous TIPS procedure.
• The patient's condition necessitated intervention to manage the significant consequences of the biliary injury.
• These specific complications and their sequelae following percutaneous procedures are notably underrepresented in existing medical literature.

Findings:

• Interventional radiology drainages were employed to manage the patient's biliary complications effectively.
• The drainage procedures successfully resolved the biliary leak and the associated biloma.
• This case underscores the therapeutic potential of interventional drainage in managing post-TIPS biliary injuries.

Implications:

• The management of biliary complications after percutaneous procedures, particularly TIPS, requires further elucidation through case sharing.
• Highlighting drainage management strategies contributes valuable experience to this underreported clinical scenario.
• Encouraging the reporting of similar cases is crucial for developing standardized treatment approaches and improving patient outcomes.