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Going with the flow
  1. James Edmund Sarkodieh1,
  2. Mark A Samaan2,
  3. Arman Parsai1
  1. 1Department of Radiology, Barts Health NHS Trust, London, England, UK
  2. 2Department of Hepatology, Barts Health NHS Trust, London, UK
  1. Correspondence to Dr James Edmund Sarkodieh, james.sarkodieh{at}

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As part of a routine assessment for liver transplantation, a 48-year-old gentleman with cirrhosis secondary to hepatitis C (genotype 2b) underwent intra-abdominal imaging. His indications for liver transplantation were recurrent ascites with diuretic intolerance and episodes of spontaneous bacterial peritonitis as well as a high UK model for end-stage liver disease score (UKELD of 57). He had also had two previous episodes of variceal bleeding necessitating band ligation and stays in intensive care.

A triple …

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