case_images: PMC4322406_01
case_images: Intraoperative picture shows the PV to IVC shunt
case_images: APC-8-64-g001.jpg
case_images: PMC4322406_01_APC-8-64-g001.jpg
case_images: F1
case_images: CEPS II [Figure 1]. Cardiac catheterization showed the mesenteric vein and splenic vein draining into the PV, which in turn, was draining via a fistula into the IVC [Figure 2], double IVC and diffuse pulmonary arteriovenous malformations (PAVM). Upper median laparotomy was performed under general anesthesia and a rent was made in the mesocolon through which IVC, PV, and PV to IVC shunt measuring about 2 cm in length and 2.5 cm in diameter was identified [Figure 1].
case_images: Intraoperative picture shows the ligated shunt
case_images: APC-8-64-g002.jpg
case_images: PMC4322406_01_APC-8-64-g002.jpg
case_images: F2
case_images: CEPS II [Figure 1]. Cardiac catheterization showed the mesenteric vein and splenic vein draining into the PV, which in turn, was draining via a fistula into the IVC [Figure 2], double IVC and diffuse pulmonary arteriovenous malformations (PAVM). The shunt was ligated [Figure 2].