A 6-year-old NM Silky Terrier was presented for evaluation of anorexia, lethargy, and vomiting. Post-prandial bile acids were elevated (147).
Case Study
03_00545 Ceaser B Portosystemic 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
PSS
Outcome
None
Comments
Case courtesy of Marty Henderson, DVM, Sonovet, Inc.
Clinical Differential Diagnosis
Acute hepatitis (viral, bacterial, toxins), porto-caval shunt, primary portal vein hypoplasia, congenital fibrosis, cirrhosis.
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Lethargy
- Vomiting
Images
Blood Chemistry
- Post-Prandial Bile Acids, High
Clinical Signs
- Anorexia
- Lethargy
- Vomiting