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Fig. 5A. —Multiple intrahepatic portosystemic venous shunts in 62-year-old woman who did not have cirrhosis and who presented with memory disturbance and trembling. Blood examination revealed hyperammonemia and low Fischer's ratio. Patient was treated by transileocolic obliteration. Transileocolic portogram revealed multiple intrahepatic portosystemic venous shunts in left lobe (arrowheads). Gianturco coils (William Cook Europe, Bjaeverskov, Denmark) and fibered microcoils were placed into shunt vessels.