Budd-Chiari Syndrome Caused by TIPS Malposition: A Case Report
Figure 3
(a) Axial contrast-enhanced CT of the upper abdomen during the portal-venous phase demonstrates thrombosed left and middle hepatic veins (thin arrows). The proximal end of the TIPS stent is seen within the IVC which is occluding ostia of the left and middle hepatic veins (black arrow). The right hepatic vein is patent and adequately opacified with IV contrast (thick arrow). A wedge-shaped hypodense area in hepatic segments V and VIII (asterisk) representing hepatic infarction. (b) Coronal MIP image of the upper abdomen shows the position of the TIPS stent, communicating the right portal vein and the mid hepatic vein with its most cranial tip within the IVC (arrowhead).
