Massive Hemobilia Due to Arteriobiliary Fistula after the Transjugular Intrahepatic Portosystemic Shunt (TIPS): A Case Report

Abstract

The transjugular intrahepatic portosystemic shunt (TIPS) is an effective method for the treatment of uncontrolled refractory ascites, pleural effusion, and variceal bleeding, but the risk of complications related to the procedure is high. Arteriobiliary fistula, which is manifested as hemobilia, is one of the major fatal complications of the TIPS. Most of the TIPS-related bleeding is a complication that occurs mainly during the portal vein puncture. We are reporting a case of massive hemobilia due to hepatic arteriobiliary fistula caused by TIPS procedure.