Abstract
We report successful management of transjugular intrahepatic portosystemic shunt stent
infection (endotipsitis) following direct intrahepatic portocaval shunt for chronic
Budd–Chiari syndrome. PETCT confirmed FDG-avid vegetation/thrombus within the stent
graft, which was removed with a large-bore sheath aspiration technique, and the residual
thrombus was excluded by placing an additional stent graft. The thrombus was positive
for E. coli, and appropriate antibiotics were given. Patient improved with no recurrent
symptoms during a follow-up of 7 months.
Keywords
endotipsitis - DIPS - Budd–Chiari syndrome
