Treatment of TIPS/biliary fistula-related endotipsitis with a covered stent.
"Infective endotipsitis" describes a recurrent bacteremia or fungemia in patients with a transjugular intrahepatic portosystemic shunt (TIPS) in place and no other identifiable source of infection. The present report describes a patient who developed polymicrobial endotipsitis 6 years after TIPS creation. Blood cultures remained positive for polymicrobial growth despite long courses of antibiotic therapy. Communication between the TIPS and an infected biliary tree, precipitated by cholecystitis, was ultimately recognized. The biliary/TIPS fistula was closed with a polytetrafluoroethylene-covered stent. The patient remains asymptomatic and follow-up blood cultures remain negative with a low dose of oral antibiotics 2 years after the procedure.
Duke Scholars
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Ultrasonography, Doppler
- Stents
- Portasystemic Shunt, Transjugular Intrahepatic
- Polytetrafluoroethylene
- Pancreatitis
- Nuclear Medicine & Medical Imaging
- Male
- Liver Cirrhosis, Alcoholic
- Humans
- Graft Occlusion, Vascular
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Ultrasonography, Doppler
- Stents
- Portasystemic Shunt, Transjugular Intrahepatic
- Polytetrafluoroethylene
- Pancreatitis
- Nuclear Medicine & Medical Imaging
- Male
- Liver Cirrhosis, Alcoholic
- Humans
- Graft Occlusion, Vascular