Numerous liver abscesses after transjugular intrahepatic portosystemic shunt for decompensated liver cirrhosis: A case report

Figure 1 This patient with decompensated cirrhosis underwent transjugular intrahepatic portosystemic shunt placement, developed numerous hepatic abscesses postoperatively, and subsequently recovered. A and B: Gastroscopy revealed esophageal-gastric varices, no visible bleeding but there was an ulcer scar in the varicose veins at the base of the stomach; C-E: Abdominal magnetic resonance imaging and computed tomography (CT) portal venous phase showed cirrhosis, splenomegaly, and left portal vein thrombosis in the liver; F-H: Angiography during transjugular intrahepatic portosystemic shunt (TIPS) revealed thickening of the portal vein; varicose veins did not appear after coil embolization; and the contrast agent flowed smoothly into the cardiac cavity through the implanted stent-graft; I-K: After 3 days, abdominal CT showed multiple small abscesses in the liver; L and M: After 30 days, abdominal CT showed multiple small abscesses in the liver, but slightly reduced in number; N and O: After 45 days, liver CT showed multiple small abscesses, with a significant reduction in number; P and Q: After 60 days, abdominal CT arterial and venous phases showed that the intrahepatic abscesses had disappeared and the TIPS shunt was patent.