Zhang, Alexander D.Bergen, Michael2022-06-272022-06-272022-060027-9684http://hdl.handle.net/10919/110942We present a case report of a patient who is a non-cirrhotic with portal cavernous transformation secondary to previous trauma. The patient presents with portal biliopathy requiring ERCP/EUS with biliary stenting. The patient was referred to Interventional Radiology (IR) for portal vein recanalization. The patient underwent a novel technique of transplenic access with portal vein recanalization via a gunsight technique, ultimately receiving a direct intrahepatic portocaval shunt (DIPS). Subsequently, his symptoms resolved, and the biliary stent was successfully removed.application/pdfenIn CopyrightArticle - Refereed2022-06-26https://doi.org/10.1016/j.jnma.2022.06.003