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Institut des Maladies de l'Appareil Digestif, IMAD, University Hospital of Nantes, Nantes, France. Electronic address:
Bilhemia: A Rare Complication of Transjugular Intraheptic Portosytemic Shunt.
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October 2015
Department of Internal Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
A 56-year-old woman with cirrhosis due to chronic hepatitis C underwent emergent transjugular intrahepatic portosystemic shunt (TIPS) due to a ruptured esophageal varix during esophagogastroduodenoscopy. Following TIPS, the patient experienced a rapid rise in serum bilirubin with no evidence of biliary obstruction or hepatic injury. She was determined to have bilhemia, a rare but serious complication of TIPS.
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World J Gastroenterol
August 2009
Division of Gastroenterology, University of Texas Medical Branch, Galveston, TX 77586-0764, USA.
Bilhemia or bile mixing with blood is a rare clinical problem. The clinical presentation is usually transient self-resolving hyperbilirubinemia, progressive and rapidly rising conjugated hyperbilirubinemia, or recurrent cholangitis. Endoscopic retrograde cholangiopancreatography (ERCP) plays an important role in diagnosis and management.
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