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The Role of TIPS in patients with Refractory Ascites and Portal Vein Thrombosis

Paulina Chinchilla-López, Nashla Hamdan-Pérez, Jorge Guerrero-Ixtlahuac, Beatriz Barranco-Fragoso, Nahum Méndez-Sánchez

Abstract

Portal vein thrombosis (PVT) is one of the most common vascular disorders of the liver; its importance relies because of its significant morbidity and mortality. Large cohorts have reported a global PVT prevalence of 1%, but in some risk groups can be up to a 26%.1 The incidence of PVT in cirrhosis is less clearly defined, but reported as 16% by Amitrano, et al.2 in a group of patients with Liver Disease (LD) followed prospectively. Transjugular intrahepatic portosystemic shunt (TIPS) is commonly performed for refractory ascites, refractory variceal bleeding, hepatic hydrothorax, and Budd-Chiari syndrome. We report a case to emphasize the role of TIPS in patient with refractory acute and portal vein thrombosis.

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