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Small liver, possible extra-hepatic liver Shunt on a 11 yo Shepherd mix.

Small liver, possible extra-hepatic liver Shunt on a 11 yo Shepherd mix.

Is there an extra-hepatic shunt? Is there an abnormal vessel caudal to the spleen? – 11 yo F/S Shepherd mix, 52# with chronic elevation of liver enzymes and intermittent Vomiting/diarrhea for years. Responds to metro/cerenia/probiotics.  – Last bloodwork in April 2020: ALT 875, ALP 959, GGT 34, Bil 0.3>0.1, no BA done. Lymphopenia 758, u/a…

Small liver, possible extra-hepatic liver Shunt on a 11 yo Shepherd mix.

Is there an extra-hepatic shunt? Abnormal vessel caudal to the spleen? – 11 yo F/S Shepherd mix, 52# with chronic elevation of liver enzymes and intermittent Vomiting/diarrhea for years. Responds to metro/cerenia/probiotics.  – Last bloodwork in April 2020: ALT 875, ALP 959, GGT 34, Bil 0.3>0.1, no BA done. Lymphopenia 758, u/a WNL SG 10.14,…