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World J Gastrointest Surg. Aug 27, 2026; 18(8): 120285
Published online Aug 27, 2026. doi: 10.4240/wjgs.120285
Published online Aug 27, 2026. doi: 10.4240/wjgs.120285
Transjugular intrahepatic portosystemic shunt via the caudate lobe portal vein due to anatomic variation: Two case reports
Tao Xu, Qiao-Xia Ye, Li-Guan Liu, Zheng-Ju Xu, The Liver Disease Center, The 910th Hospital of the PLA Joint Logistics Support Force, Quanzhou 362000, Fujian Province, China
Xiao-Huan Lai, Department of Interventional Hepatology, The Fifth People’s Hospital of Ganzhou, Ganzhou 341000, Jiangxi Province, China
Co-first authors: Tao Xu and Xiao-Huan Lai.
Author contributions: Xu T and Lai XH conceived the study; Ye QX assembled and analyzed the data; Liu LG contributed to the discussion the article; Xu ZJ reviewed and edited the article; all authors read and approved the submitted manuscript. Xu T and Lai XH contributed equally to this work as co-first authors.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images. The patient was informed that their personal identifiers would be removed to protect anonymity.
Conflict-of-interest statement: The authors declare no conflicts 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: Zheng-Ju Xu, The Liver Disease Center, The 910th Hospital of the PLA Joint Logistics Support Force, No. 180 Huayuan Road, Fengze District, Quanzhou 362000, Fujian Province, China. h180@163.com
Received: February 26, 2026
Revised: April 8, 2026
Accepted: June 5, 2026
Published online: August 27, 2026
Processing time: 175 Days and 8.3 Hours
Revised: April 8, 2026
Accepted: June 5, 2026
Published online: August 27, 2026
Processing time: 175 Days and 8.3 Hours
Core Tip
Core Tip: This study reports on two patients with esophageal and gastric varices, the successful placement of covered and bare stents through this rare caudate lobe vein (CLPV), and the establishment of a transjugular intrahepatic portosystemic shunt (TIPS) channel. During follow-up, portal vein pressure significantly decreased, with no obvious complications observed. This study demonstrates that due to anatomical variations, performing TIPS through CLPV is a feasible method.