Splenocaval shunt?

Splenocaval shunt?

Dear All, I need Your help again in this “small liver” patient. She is 7 years old. She had epileptic seizures- elevated liver enzymes. No sign of urinary stones. Liver function tests ( BA, ammoniak) pending. US shows smal liver size, distended gallbladder, small v portae/ v cava ratio ( 0,75/1) In transversal view i…

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