Transjugular Retrograde Obliteration prior to Liver Resection for Hepatocellular Carcinoma Associated with Hyperammonemia due to Spontaneous Portosystemic Shunt
Figure 2
(a) Transjugular retrograde obliteration (TJO) on the 1st day: retrograde shunt venogram shows left ovarian vein and dilated inferior mesenteric vein (arrow) and portal vein (arrowhead). (b) Retrograde shunt venogram on the 2nd day shows marginal vein (arrow) communicated with portal vein (arrowhead). (c) Retrograde shunt venogram on the 2nd day shows superior rectal (arrow), sigmoid (white arrow), and marginal veins (arrowhead). (d) Retrograde shunt venogram on the 2nd day shows superior rectal vein (arrow) communicated with bilateral internal iliac veins (arrowhead). (e) Retrograde shunt venogram on the 3rd day shows thrombus formation (arrowhead) in the mesocaval shunt. The marginal vein communicated with portal vein was not visualized.
