case_images: PMC4325549_01
case_images: Computed tomography 3D reconstruction illustrating the portosystemic shunt.
case_images: CRIU2015-785010.001.jpg
case_images: PMC4325549_01_CRIU2015-785010.001.jpg
case_images: fig1
case_images: CT imaging showed features of liver cirrhosis with a prominent portosystemic shunt (Figure 1), leading to massively enlarged peristomal varices and excluded upper urinary tract bleeding.
case_images: Connect-the-numbers test to assess the grade of hepatic encephalopathy.
case_images: CRIU2015-785010.002.jpg
case_images: PMC4325549_01_CRIU2015-785010.002.jpg
case_images: fig2
case_images: However, neurologic assessment with connect-the-numbers test (Figure 2) revealed clinically relevant HE, making the patient not suitable for TIPS.
case_images: Angiography after coiling of the portosystemic shunt.
case_images: CRIU2015-785010.003.jpg
case_images: PMC4325549_01_CRIU2015-785010.003.jpg
case_images: fig3
case_images: In a second step, the portosystemic shunt was percutaneously embolized with a combination of coils and histoacryl/lipiodol (Figure 3).