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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612762PMC
http://dx.doi.org/10.14309/crj.2015.101DOI Listing

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