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4 responses to “Gastrocaval PSS?”
Yes this looks like a shunt.
Yes this looks like a shunt. What were the bile acids?
yes the oattern would suggest
yes the oattern would suggest a large gastrocaval shunt. I would confirm by CT for sx planning
Where would you visualise
Where would you visualise this shunt at surgery? Running to left and then righ side of abdomen ventral to pylorus?
Follow the PV to the hilus
Follow the PV to the hilus and just caudal to the pylorus the looping shunt will be there. Eyeballing it will be about 6mm wide and looks like an upside down C.