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One cat that initially had neurologic and gastrointestinal indications had lower urinary tract indications after PTCE and developed an acquired extrahepatic PSS. Clinical relevance Although IHPSSs in kitties tend to be unusual, the outcome of PTCE for the 4 kitties for the current report suggested that this treatment may benefit cats with an IHPSS. No short term complications had been encountered, and all kitties had enhancement in clinical indications after PTCE, althoug