Microangiopathic Hemolytic Anemia Following Transjugular Intrahepatic Portosystemic Shunt Creation in an Adolescent

ABSTRACTTransjugular intrahepatic portosystemic shunt (TIPS) creation is an effective approach to address the complications of portal hypertension. This case report describes an adolescent boy who underwent TIPS creation with an expanded polytetrafluorethylene-lined stent graft for portal hypertensi...

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Published inACG case reports journal Vol. 12; no. 5; p. e01685
Main Authors Khoo, Jing Y., Lessne, Mark L., Gopalareddy, Vani V.
Format Journal Article
LanguageEnglish
Published Maryland, MD Wolters Kluwer 01.05.2025
Subjects
Case Report
Liver
microangiopathic hemolytic anemia
TIPS-induced hemolytic anemia
transjugular intrahepatic portosystemic shunt
MAHA
pediatric portal hypertension
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Summary:ABSTRACTTransjugular intrahepatic portosystemic shunt (TIPS) creation is an effective approach to address the complications of portal hypertension. This case report describes an adolescent boy who underwent TIPS creation with an expanded polytetrafluorethylene-lined stent graft for portal hypertension secondary to sinusoidal obstruction syndrome. He subsequently developed microangiopathic hemolytic anemia, an uncommon complication of covered stents that is not well reported in the pediatric population. Despite its rarity and typical conservative management, microangiopathic hemolytic anemia should be considered and regularly monitored in the months following TIPS creation in pediatric patients.
Bibliography:Correspondence: Jing Y. Khoo, MD (jing.khoo@atriumhealth.org).
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ISSN:2326-3253
2326-3253
DOI:10.14309/crj.0000000000001685