Clinical manifestations:
The hepatic artery hypoperfusion leads to a nonspecific hepatic
dysfunction which is detected by elevated liver enzymes in the acute
stage (less than 2 months) (7). However, patients often present with
other complications such as ascites 2 months after the procedure, which
is considered an overt sign of hepatic dysfunction (2). Cholestasis,
biliary ischemia, and hypersplenism are also possible complications of
SASS (1,4,10). Overall, the clinical features of SASS are not
consistent, and patients can range from being asymptomatic to having
acute liver failure (3).