Abstract：
Endotipsitis is an underdiagnosed entity mainly because it requires a high initial level of suspicion. It should be considered in the differential diagnosis of persistent bacteremia in the cirrhotic patient with TIPS. Most cases are treated conservatively with a long-term antibiotherapy, due to the impossibility of surgical removal of the TIPS, except in a liver transplant or autopsy. The patient we present had endotipsitis that manifested as persistent bacteremia with thrombosis of the TIPS. Initially, conservative management with intravenous antibiotherapy was performed; however, due to mechanical complications caused by migration of the original endoprosthesis, it was decided to perform surgery.
摘要：
内窦炎是一种未被诊断的实体，主要是因为它需要高度的初始怀疑。在TIPS肝硬化患者的持续性菌血症的鉴别诊断中应考虑这一点。大多数病例采用长期抗生素治疗保守治疗，由于手术切除TIPS是不可能的,除了肝移植或尸检.我们介绍的患者患有内膜炎，表现为持续的菌血症伴TIPS血栓形成。最初，进行了静脉抗生素治疗的保守管理；然而，由于原始内置假体迁移引起的机械并发症，决定做手术。
