A Rare Cause of Recurrent Encephalopathy in a Septuagenarian: A Case Report

The Abernethy malformation is an extremely rare congenital, extrahepatic, portosystemic shunt. There are many problems associated with this abnormal portovenous shunting and subsequent reduced hepatic portal venous flow. With the advances in non-invasive imaging technologies, these cases diagnosed more numbers; however, presentation of patients varied natural history not completely known. presenting symptom shunt mainly hyperammonemia, leading to encephalopathy. Management varies depending on type its clinical course; hence, classification congenital important patients.