Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation

Chylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS i...

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Main Authors:	Jason T. Salsamendi, MD, Francisco J. Gortes, BS, Prasoon P. Mohan, MD, Ji Fan, MD, Govindarajan Narayanan, MD
Format:	Article
Language:	English
Published:	Elsevier 2017-03-01
Series:	Radiology Case Reports
Subjects:	Chylous ascites TIPS Cirrhosis
Online Access:	http://www.sciencedirect.com/science/article/pii/S1930043316302369

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spelling	doaj-4a10bc44cf4c4a4694db773ee16ed4fb2020-11-24T20:41:20ZengElsevierRadiology Case Reports1930-04332017-03-01121848610.1016/j.radcr.2016.10.010Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantationJason T. Salsamendi, MD0Francisco J. Gortes, BS1Prasoon P. Mohan, MD2Ji Fan, MD3Govindarajan Narayanan, MD4Department of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USADepartment of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USADepartment of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USADepartment of Surgery, Miami Transplant Institute, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Vascular Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USAChylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS in the setting of refractory CA secondary to cirrhosis of a transplanted liver graft. Following TIPS, the patient reported immediate improvement in abdominal pain and no longer requires paracentesis. Our case suggests TIPS to be a safe and effective treatment option for CA in liver transplant patients with cirrhosis.http://www.sciencedirect.com/science/article/pii/S1930043316302369Chylous ascitesTIPSCirrhosis
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Jason T. Salsamendi, MD Francisco J. Gortes, BS Prasoon P. Mohan, MD Ji Fan, MD Govindarajan Narayanan, MD
spellingShingle	Jason T. Salsamendi, MD Francisco J. Gortes, BS Prasoon P. Mohan, MD Ji Fan, MD Govindarajan Narayanan, MD Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation Radiology Case Reports Chylous ascites TIPS Cirrhosis
author_facet	Jason T. Salsamendi, MD Francisco J. Gortes, BS Prasoon P. Mohan, MD Ji Fan, MD Govindarajan Narayanan, MD
author_sort	Jason T. Salsamendi, MD
title	Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_short	Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_full	Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_fullStr	Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_full_unstemmed	Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
title_sort	transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation
publisher	Elsevier
series	Radiology Case Reports
issn	1930-0433
publishDate	2017-03-01
description	Chylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS in the setting of refractory CA secondary to cirrhosis of a transplanted liver graft. Following TIPS, the patient reported immediate improvement in abdominal pain and no longer requires paracentesis. Our case suggests TIPS to be a safe and effective treatment option for CA in liver transplant patients with cirrhosis.
topic	Chylous ascites TIPS Cirrhosis
url	http://www.sciencedirect.com/science/article/pii/S1930043316302369
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Transjugular intrahepatic portosystemic shunt for chylous ascites in a patient with recurrent cirrhosis following liver transplantation

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