Rare Duodenal Varix Coil Erosion Post TIPS Creation and Coil Embolization of Mesenteric–Systemic Shunt

Soape, Matthew; Lichliter, Andrew; Cura, Marco; Lepe-Suastegui, Maria R.; Burdick, J. Steven

doi:10.1007/s10620-017-4663-2

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Separate coil migration and penetration following TIPS placement are also rarely documented, with only seven cases having been reported in the English literature (Table 2 ) [ 9 , 10 , 12 – 16 ]. Because of the rarity of such complications in the literature, it is difficult to make recommendations for the management of this condition.…”

Section: Discussionmentioning

confidence: 99%

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Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review

Zhang

Nie

Zhou

et al. 2022

J Cardiothorac Surg

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Background Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established therapeutic option for the management of variceal hemorrhage in patients with cirrhosis. The simultaneous migration of the coil and n-butyl-2-cyanoacrylate (NBCA) is an extremely rare but significant complication after TIPS. Because of its rare presentation, there are currently no definitive recommendations for the management of this condition. Case presentation A 46-year-old man with hepatitis B cirrhosis underwent TIPS placement for uncontrolled gastroesophageal varix (GEV) bleeding secondary to portal hypertension in August 2018. During the procedure, large GEVs were embolized using a coil and NBCA. After a year, coil and NBCA migration into the stomach was observed. Attempts to remove the coil using biopsy forceps during esophagogastroduodenoscopy failed. The patient refused further intervention on the coil to prevent further complications and received conservative therapy instead. Close surveillance with endoscopy is recommended for detecting coils and varices. Conclusions The present case reports an extremely rare but significant complication after TIPS, which highlights the management and follow-up recommendation for such rare complications. Our experience may provide guidance for the management of future similar cases and stimulate discussion about treatment methods of similar patients.

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Section: Discussionmentioning

confidence: 99%

“…Another report described embolization coil erosion through the duodenal varix following TIPS creation. The penetrating coil was removed using endoscopic forceps [ 16 ]. In our case, the patient refused further intervention to retrieve the coil and instead received conservative therapy.…”

Section: Discussionmentioning

confidence: 99%

Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review

Zhang

Nie

Zhou

et al. 2022

J Cardiothorac Surg

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A Curious Case of Coil-Angitis

2019

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A 43-year-old man with a history of pedestrian-truck collision 18 months prior presented with right-sided abdominal pain and chills. His trauma consisted of orthopedic injuries and a grade 4 liver laceration. Surgical liver repair was complicated by a biloma requiring common bile duct stenting. Postendoscopy hemobilia led to extensive coiling of a hepatic artery pseudoaneurysm. Remaining hospitalization was relatively uneventful, and he was lost to follow-up. Repeat presentation was marked by leukocytosis and obstructive transaminitis. Computed tomography raised concern for a dilated 14-mm common bile duct with migrated coil mass near the pancreatic head. The patient underwent urgent endoscopic retrograde cholangiopancreatography with cholangioscopy and successful removal of a coil mass measuring approximately 4 × 3 cm without injury to the common bile duct or vascular structures. His pain was relieved, and he was discharged with a common bile duct stent and outpatient follow-up.

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Rare Duodenal Varix Coil Erosion Post TIPS Creation and Coil Embolization of Mesenteric–Systemic Shunt

Cited by 2 publications

References 5 publications

Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review

Coil and n-butyl-2-cyanoacrylate migration into the stomach after TIPS for gastroesophageal variceal bleeding: a case report and literature review

A Curious Case of Coil-Angitis

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