# Biliary Complications Post Transjugular Intrahepatic Portosystemic Shunt in a Child With Portal Vein Cavernous Transformation

## TL;DR

A child developed biliary complications after a transjugular intrahepatic portosystemic shunt procedure, which were managed using interventional radiology techniques.

## Contribution

This case highlights rare biliary complications and their management in pediatric patients undergoing this procedure.

## Key findings

- An 11-year-old patient experienced biliary injury, leak, and biloma after the procedure.
- Interventional radiology successfully managed the complications through drainage.
- Such cases are underreported, emphasizing the need for shared clinical experiences.

## Abstract

The transjugular intrahepatic portosystemic shunt is a rising interventional procedure with multiple indications and high technical success but with risks of biliary injuries, an underreported scenario. We present an 11-year-old patient with biliary injury with a leak, biloma formation, and biliary obstruction caused by the percutaneous procedure. Interventional radiology drainages addressed these complications by resolving the leak and biloma. These biliary complications in percutaneous procedures and their management are rarely reported in the medical literature, making their management not standard. We highlight drainage management and the importance of sharing it to add experience to this clinical scenario and encourage sharing cases with similar diagnoses.