• Ziyao Cheng, Jiayu Ju, Qingliang Zhu, Mingming Deng, and Hailong Zhang.
• Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
• Medicine (Baltimore). 2022 Nov 11; 101 (45): e31753e31753.

RationaleTransjugular intrahepatic portosystemic stent-shunt (TIPSS) is a minimally invasive procedure used for the treatment of portal hypertension. Intrahepatic hematoma is the rare complication caused by hepatic arterial injuries from TIPSS procedure.Patient ConcernsThis case report illustrated a 77-year-old man with hepatitis B virus-induced cirrhosis who underwent TIPSS.DiagnosesThe patient suffered from intrahepatic hematoma and hepatic pseudoaneurysm because of the hepatic artery injury after TIPSS.InterventionsThe hepatic artery laceration began at the level of the branch of the left hepatic artery was embolized.OutcomesThe acute intrahepatic hematoma and hepatic pseudoaneurysm of the patient were cured.ConclusionIn this report, we describe a cirrhosis patient with a large intrahepatic hematoma secondary to TIPSS, and a literature review is also presented. The intrahepatic hematoma and hepatic pseudoaneurysm should be paid more attention after TIPSS while early-stage prevention should be carried out.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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