Successful embolization of symptomatic intrahepatic portosystemic venous shunts through trans-splenic access – A case report

Intrahepatic portosystemic venous shunts (IPSVS) are rare vascular disorders that are often missed or misdiagnosed in clinical practice. These shunts involve abnormal connections between the portal and systemic venous systems and can cause a range of symptoms, with encephalopathy being the most common symptom. We present a unique case of treating IPSVS in a patient with encephalopathy but no history of liver or vascular disease. The treatment successfully used trans-splenic access (TSA) for embolization to address seven IPSVS.