A 6-year-old NM Silky Terrier was presented for evaluation of lethargy and vomiting and was hospitalized for IV fluids and medications. Post-prandial bile acids were elevated (147).
Case Study
03_00452 Ceaser B Splenoazygos shunt
Sonographic Differential Diagnosis
Splenoazygos shunt
Image Interpretation
Dorsally directed erroneous vessel entering into the aortic hiatus consistent with splenoazygos shunt. Microhepatica likely owing to portal hypoplasia and/or EHPSS.
DX
Splenoazygos shunt
Outcome
None
Comments
Case courtesy of Marty Henderson, SonoVet, Inc.
Clinical Differential Diagnosis
Liver – chronic hepatopathy, cirrhosis, neoplasia, granulomatous disease
Porto-caval shunt, primary portal vein hypoplasia
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Lethargy
- Vomiting
Images
Clinical Signs
- Lethargy
- Vomiting