Anomalous hepatic vessels in an old dog

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Anomalous hepatic vessels in an old dog

Hi there

  • This is a 12 year old FS boxer mix dog with recent onset hematemesis.
  • Dog has a PCV of 25%, ALP is>1000, ALT mildly elevated. BUN elevated at 58, creat normal.
  • Clotting times pending. 
  • No other overt abnormalities, some shadowing material in stomach but dog had eaten this morning. I did not see any clots.
  • Would these be considered acquired shunts? What does this indicate? 
  • Thanks for any help,

Liz

 

Hi there

  • This is a 12 year old FS boxer mix dog with recent onset hematemesis.
  • Dog has a PCV of 25%, ALP is>1000, ALT mildly elevated. BUN elevated at 58, creat normal.
  • Clotting times pending. 
  • No other overt abnormalities, some shadowing material in stomach but dog had eaten this morning. I did not see any clots.
  • Would these be considered acquired shunts? What does this indicate? 
  • Thanks for any help,

Liz

 

Comments

rlobetti
June 19, 2015 at 12:54 pm -

From the history looks like

From the history looks like acute hepatopathy with either primary or secondary gastric ulceration/gastric hemorrhage. Not sure about the hepatic vessel and may be an incidental finding – acquired shunts usually associated with chronic liver disease rather than acute disease.

Liz
June 19, 2015 at 5:25 pm -

There were multiple vessels

There were multiple vessels like this throughout an enlarged and hyperechoic liver. Does that make a difference?

 

EL
June 19, 2015 at 7:19 pm -

This is odd because acquired

This is odd because acquired shunts are typically extrahepatic with ascites and edematous pancreas and spleen. Im thinking intrahepatic vascular anomaly that this dog has been living with and now acute inflammatory disease.

CT with contrast would be the way to go here

rlobetti
June 20, 2015 at 3:35 pm -

Would get the liver and

Would get the liver and ulcer/hemorrhage under control before doing anesthesia/sedation for the CT.

Liz
June 20, 2015 at 3:41 pm -

CT won’t ever happen. Limited

CT won’t ever happen. Limited funds. Coags normal. Thanks guys! 

rlobetti
June 20, 2015 at 4:00 pm -

Go for ursodeoxycholic,

Go for ursodeoxycholic, gastric protectants (omeprazole, sulcralfate), anti-emetics, liver diet.

Liz
June 20, 2015 at 4:16 pm -

Thanks Remo!

Thanks Remo!

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