The case reported below was shown to be caused by congenital intrahepatic portal–systemic shunts. N.F. (C–P.M.C. 151–33–75), a 56-year-old married postal clerk, was entirely well until 2 1 ...

The therapeutic principle of portosystemic shunting is to convert ... therefore a portacaval or mesocaval shunt will not provide decompression, whereas a shunt from the portal or mesenteric ...