Survival from acute hepatorenal syndrome following splenorenal shunt.

Acute aggravation of chronic hepatorenal syndrome following angiography is described in a patient with recovery and long-term survival following splenorenal shunt. It is believed that this patient represents a type of hepatorenal syndrome which can be expected to tolerate shunt and recover from hepatorenal syndrome. Possible mechanisms of the pathophysiology are discussed and recommendations made on this basis for the selection of such patients for portal decompression.