case_images: PMC9899101_01
case_images: Patient's echocardiogram during her admission
case_images: cureus-0015-00000033405-i01.jpg
case_images: PMC9899101_01_cureus-0015-00000033405-i01.jpg
case_images: FIG1
case_images: Given the concern for a possible septic shock on presentation, a full infectious workup was performed, including chest X-ray, echocardiogram (Figure 1), right upper quadrant ultrasound, and CT of the abdomen and pelvis, revealing a patent TIPS. No vegetation, ascites, acute abnormalities, or obvious sources of infection were detected, as seen in Figure 1.