We report a 9-year-old male cirrhotic patient with acute occlusion of a tra
nsjugular intrahepatic portosystemic shunt (TIPS) due to a biliary-to-TIPS
fistula which occurred 9 hr after the TIPS procedure. Immediate TIPS revisi
on was performed and the fistula was treated by placement of an endoluminal
stent-graft. At 12-month follow-up color Doppler examination demonstrated
a patent shunt.