RESUMO
OBJECTIVE: To report on 2 patients with alcoholic cirrhosis who were treated with transjugular intrahepatic portosystemic shunt (TIPS) placement. CLINICAL PRESENTATION AND INTERVENTION: The 2 patients had a history of alcoholic cirrhosis, and TIPS surgery was performed on them. In both cases, 4 months after TIPS placement, proteinuria was observed along with histological alterations characteristic of immune complex membranoproliferative glomerulonephritis (MPGN). CONCLUSION: The TIPS in one patient was successful without immediate complications, while the other patient was referred for a combined liver-kidney transplant. In both cases, immune complex MPGN might have developed after TIPS placement probably due to a reduced immune complex clearance.
Assuntos
Glomerulonefrite Membranoproliferativa/etiologia , Doenças do Complexo Imune/etiologia , Cirrose Hepática Alcoólica/cirurgia , Derivação Portossistêmica Transjugular Intra-Hepática/efeitos adversos , Complexo Antígeno-Anticorpo/imunologia , Feminino , Glomerulonefrite Membranoproliferativa/imunologia , Humanos , Doenças do Complexo Imune/imunologia , Masculino , Pessoa de Meia-IdadeRESUMO
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