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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. Mar 28, 2026; 32(12): 119002
Published online Mar 28, 2026. doi: 10.3748/wjg.v32.i12.119002
Transjugular intrahepatic portosystemic shunt for variceal bleeding due to hereditary hemorrhagic telangiectasia with cirrhosis: A case report
Tong-Qin Zhang, Liang Zhang, Xin Yong, Chao Tian, Bei-Jin Chen, Jian-Ping Qin, Dong Mu, Shan-Hong Tang
Tong-Qin Zhang, Dong Mu, Department of Gastroenterology and Hepatology, The General Hospital of Western Theater Command, Chengdu 610083, Sichuan Province, China
Liang Zhang, Xin Yong, Bei-Jin Chen, Jian-Ping Qin, Shan-Hong Tang, Department of Gastroenterology, The General Hospital of Western Theater Command, Chengdu 610083, Sichuan Province, China
Chao Tian, Department of Radiology, The General Hospital of Western Theater Command, Chengdu 610083, Sichuan Province, China
Co-first authors: Tong-Qin Zhang and Liang Zhang.
Author contributions: Zhang TQ and Tang SH contributed to conceptualization; Yong X and Tian C contributed to methodology; Chen BJ and Qin JP contributed to validation and visualization; Zhang L and Zhang TQ contributed to software, formal analysis, data curation, writing original draft preparation; Zhang L and Mou D contributed to resources, writing review and editing, supervision; all authors have read and agreed to the published version of the manuscript.
Informed consent statement: Authors’ institution does not require ethical approval for publication of a single case report. Written informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Shan-Hong Tang, MD, Doctor, Department of Gastroenterology, The General Hospital of Western Theater Command, No. 270 Rongdu Avenue, Jinniu District, Chengdu 610083, Sichuan Province, China. shanhongtang@163.com
Received: January 20, 2026
Revised: February 5, 2026
Accepted: March 2, 2026
Published online: March 28, 2026
Processing time: 62 Days and 13.1 Hours
Core Tip

Core Tip: Interventional embolization remains the first-line treatment for hepatic arterioportal fistula. However, when embolization fails to achieve hemostasis, transjugular intrahepatic portosystemic shunt (TIPS) may serve as an alternative therapeutic strategy. Herein, we report a female patient with liver cirrhosis and hereditary hemorrhagic telangiectasia who presented with recurrent bleeding and was successfully managed with TIPS.