This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Liver, Subject name: Surgery
Early complication following TIPSS is: 
Select and explain. 
A. Encephalopathy, B. Capsule rupture and bleeding, C. Shunt stenosis, D. Shunt thrombosis
B: Capsule rupture and bleeding
Answer: B: Capsule rupture and bleeding 
Explanation: Ans. (b) Capsule rupture and bleedingRef: Bailey and Love 27th Edition Page 1164* TIPSS is used for patients not responded to drug therapy and endoscopic therapy.* Inserted via IJV under fluoroscopic guidance.* Main early complication is perforation of liver capsule and fatal intraperitoneal hemorrhage.* Other complication is post shunt encephalopathy, occurs in 40% cases.* Main contraindication of TIPS is portal vein occlusion.* Main long-term complication is shunt stenosis (50% in 1 year) and result in recurrent hemorrhage.