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

Title: Microangiopathic Hemolytic Anemia Following Transjugular Intrahepatic Portosystemic Shunt Creation in an Adolescent
Authors: Khoo, Jing Y.; Lessne, Mark L.; Gopalareddy, Vani V.
Source: ACG Case Reports Journal ; volume 12, issue 5, page e01685 ; ISSN 2326-3253
Publisher Information: Ovid Technologies (Wolters Kluwer Health)
Publication Year: 2025
Description: Transjugular 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.
Document Type: article in journal/newspaper
Language: English
DOI: 10.14309/crj.0000000000001685
Availability: https://doi.org/10.14309/crj.0000000000001685; https://journals.lww.com/10.14309/crj.0000000000001685
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.18BBB3FC
Database: BASE