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Gastrocaval PSS?

Sonopath Forum

Sonopath Forum

Gastrocaval PSS?

  • 1 year old Bichon Frise, picky appetite, underweight, ‘syncope’ episodes, elevated liver enzymes, BAST pending
  • Microhepatica, renomegaly, small bladder calculi, small PV, large VC and normal AO at portal hilus
  • I think this is a looping gastrocaval shunt, is this correct?

  • 1 year old Bichon Frise, picky appetite, underweight, ‘syncope’ episodes, elevated liver enzymes, BAST pending
  • Microhepatica, renomegaly, small bladder calculi, small PV, large VC and normal AO at portal hilus
  • I think this is a looping gastrocaval shunt, is this correct?

Comments

DrMac
December 1, 2018 at 9:54 pm -

Yes this looks like a shunt.

Yes this looks like a shunt. What were the bile acids? 

EL
December 3, 2018 at 2:00 pm -

yes the oattern would suggest

yes the oattern would suggest a large gastrocaval shunt. I would confirm by CT for sx planning

veteurope1
December 21, 2018 at 11:04 pm -

Where would you visualise

Where would you visualise this shunt at surgery? Running to left and then righ side of abdomen ventral to pylorus?

EL
December 24, 2018 at 2:59 pm -

Follow the PV to the hilus

Follow the PV to the hilus and just caudal to the pylorus the looping shunt will be there. Eyeballing it will be about 6mm wide and looks like an upside down C.

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