<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>Management of variceal bleeding secondary to portal hypertension constitutes a challenging issue, particularly in child's C cirrhotic patients. Recently, transjugular placement of self-expanding metallic stents in the liver (TIPS), creating a shunt between the portal and hepatic branches has provided a safe and promising
therapeutic approach in this clinical situation. We report here the case of a 66-year-old male cirrhotic patient
who developed a moderately severe clinical picture of a Coombsnegative hemolytic anemia (serum
hemoglobin, 93 g/l, serum bilirubin 160.74 umol/L (9.4 mg/dl), indirect 6.3 mg/dl (107.73 umol/L); serum
LDH 1220 u/l, reticulocytes, 5.1%. serum ferritin, 1221 ug/1, schistocytes in peripheral blood smear) the week
after undergoing a TIPS, suggesting the development ofa microangiopathic hemolytic anaemia secondary to
red blood cell disruption by passing through the metallic network of the stent.</p>
[]
HPB Surg. 1996; 9(4):249-251