RT Journal Article SR Electronic T1 Endotipsitis: a rare case of endovascular infection with ESBL Klebsiella pneumoniae JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e233972 DO 10.1136/bcr-2019-233972 VO 13 IS 4 A1 Andrei Schwartz A1 Aayushi Garg A1 Giselle Statz A1 Justin Smock YR 2020 UL http://casereports.bmj.com/content/13/4/e233972.abstract AB Endotipsitis is a vegetative endovascular infection of a transjugular intrahepatic portosystemic shunt (TIPS). There is currently no uniformly accepted diagnostic criterion, and most cases are diagnosed by clinical diagnosis of recurrent bacteraemia in patients with TIPS and no identifiable source after appropriate investigation. We present a case of 62-year-old man in whom endotipsitis was suspected clinically after emergent TIPS placement complicated by TIPS thrombosis, need for TIPS revision and recurrent bacteraemia. The diagnosis was confirmed using an Indium-111-labelled leucocyte scan (tagged white blood cell scan). This case highlights the potential risks of endotipsitis with TIPS procedures and provides insight into the utilisation of an old diagnostic tool in a new diagnostic role.