Simplifying the shunt hunt: A practical ultrasound approach

Simplify the shunt hunt by applying the structured SDEP® Abdominal Scanning Protocol, focusing on SDEP® Positions 9–14 to systematically evaluate hepatic vasculature. Lecture attendees will review normal hepatic vascular anatomy before exploring practical strategies for identifying both extrahepatic (EHPSS) and intrahepatic portosystemic shunts (IHPSS). The session emphasizes the concept of the negative shunt hunt (using consistent scanning maneuvers to rule out shunts when they are not present while avoiding common sonographic pitfalls). Clinical integration is also highlighted, including recognition of compatible clinical 
signs, interpretation of laboratory findings, congenital considerations, and the role of advanced imaging such as CT. Real-world diagnostic obstacles and current 
approaches to medical and surgical management will be discussed to help clinicians approach suspected shunts with greater confidence and efficiency.