The Budd-Chiari syndrome is a heterogeneous group of disorders characterized by obstruction of hepatic venous outflow at any level from the small hepatic veins to the junction of the inferior vena cava with the right atrium. We present two cases of Budd- Chiari syndrome with severe ascites associated with polycythemia vera in first case and protein C deficiency in the second, in both cases tran...

Editor, We read with interest the article by Niessen et al. (1) entitled “Irreversible Electroporation of a Hepatocellular Carcinoma Lesion Adjacent to a Transjugular Intrahepatic Portosystemic Shunt Stent Graft”. In the article, the authors detailed the use of irreversible electroporation in the treatment of a hepatocellular carcinoma (HCC) adjacent to a transjugular intrahepatic portosystemic...

Gastrointestinal (GI) bleeding is a common complication of cirrhosis and portal hypertension. Most cases are secondary to gastro-esophageal variceal rupture, managed endoscopically1. Stomal rare there’s no standard therapy2. We present case cirrhotic patient with recurrent stomal hemorrhage successfully treated transjugular intrahepatic portosystemic shunt (TIPS) varices embolization.

congenital hepatic fibrosis (chf) is a developmental disorder of the biliary system, characterized by defective remodeling of the ductal plate. herein a family of three children, from consanguineous parents, with minor thalassemia is presented who suffered from congenital hepatic fibrosis (chf). prompt diagnosis and appropriate treatment are necessary to avoid further complications in the affec...

459 Most of the morbidity associated with chronic liver disease results from the development of portal hypertension and its sequelae. Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive method of creating a portosystemic shunt that can effectively decompress the hypertensive portal circulation and treat its complications. Introduced more than a decade ago, the procedure...

Surgery for portal hypertension began in 1877, with Nicolai Vladirmirovich who performed the fi rst portacaval anastomosis. There was little clinical success until Blakemore and Whipple between the 1920’s and 1940’s: the mortality rate ranged from 25-40%. Hepatic encephalopathy was a clinical problem. In 1960, Warren and collegues performed a distal splenorenal shunt, which reduced the incidenc...