10 August Update: Tobi just had her surgery
10 August 2016VSG just called as Tobi had just done her surgery. Tobi is eating healthy. Blood pressure and body temperature all fine. The problem is that the surgeons cannot spot the porto vein, which is the blood vein connecting the intestine to the liver. The peculiar thing is that rather than seeing a small porto vein, as it usually is the case with porto-systemic shunt symptoms, Tobi doesn't actually have one, which means that she shouldn't be theoretically alive right now. The surgeons, who are probably the most experienced surgeons in NZ in regards to shunts, have never seen anything like this before.
In any case, the outcome is very ambiguous. The worst case scenario is that as the shunt is being gradually closed off, the lack of porto vein means that blood will start accumulating in the intestine overtime, which will be fatal. The best case scenario is that somehow and miraculously, Tobi has adapted to function without a porto vein and that the blood from the intestine will find its own way of reaching the liver, for example, microscopic vessels start expanding or new blood vessels start appearing between the liver and the intestine as the shunt is closed off.
This is truly a unique case and unfortunately, I am still left in the dark as to what will happen to Tobi :|