Abstract:Introduction: Portosystemic shunting (PSS) is a common complication of advanced cirrhosis, and is usually a result of portal hypertension. In severe cases, it can lead to worsening hepatic encephalopathy (HE) leading to multiple hospitalizations. We present a patient with a large PSS who failed initial embolization of the PSS, requiring subsequent TIPS placement as well as re-embolization. Case Description/Methods: A 55-year-old male with a history of non-alcoholic steatohepatitis (NASH) cirrhosis presented wi… Show more
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