Friend or Foe? Spontaneous Portosystemic Shunts in Cirrhosis—Current Understanding and Future Prospects

Figure 9

Axial (a, c) and coronal (b, d) CECT images depicting gastric varices (arrowheads in (a, b)) associated with a gastrorenal shunt in a 58-year-old patient with liver cirrhosis and intractable gastric variceal bleeding. The patient underwent plug-assisted retrograde transvenous obliteration (PARTO) of the shunt and variceal complex. Postprocedure images (c, d) show completely thrombosed varices (arrowheads) with vascular plug-in-situ (arrow). Note. The interval appearance of mild ascites (asterisk) after the procedure which responded to diuretics.

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