Question: A 68-year-old man with severe alcoholic liver cirrhosis underwent a left lobe adult-to-adult living donor liver transplantation. The volume of the donor’s liver was relatively low for the recipient; therefore, portacaval shunting was performed between the right branch of the portal vein and the inferior vena cava to prevent postoperative portal hypertension. The patient’s postoperative course was relatively stable without major complications. Computed tomography (CT) and ultrasonography (US) revealed a slowly increasing graft volume.