CT Extrahepatic Portosystemic Shunt in a 2 year old FS Chihuahua dog

Case Study

CT Extrahepatic Portosystemic Shunt in a 2 year old FS Chihuahua dog

Presented for Fanconi-like clinical signs. Ultrasound revealed possible liver shunt. Physical exam was unremarkable.

 

Presented for Fanconi-like clinical signs. Ultrasound revealed possible liver shunt. Physical exam was unremarkable.

 

DX

Large solitary extrahepatic portosystemic shunt

Image Interpretation

CT, portal angiogram: A large tortuous vessel is seen connecting the portal vein to the caudal vena cava. This is an aberrant vessel which increases the diameter of the caudal vena cava more than two-fold. Shunt vessel measures approximately 6.3 mm at its widest point, approximately the same
diameter as the caudal vena cava going through the diaphragm. There is no evidence of urolithiasis. There is no evidence of pleural free fluid. There is no evidence of intrathoracic abnormalities.

Outcome

Recommend surgical attenuation of the shunt vessel as clinically indicated.

Patient Information

Patient Name : Ellie Watson, Neel Veterinary Hospital
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound

Clinical Signs

  • "Not Doing Right"
  • Polydipsia
  • Polyuria
  • Stranguria

Images

2015-07-15_04-30-012015-07-15_04-31-33bildschirmfoto_2015-07-16_um_11bildschirmfoto_2015-07-16_um_11bildschirmfoto_2015-07-16_um_11liver_shuntliver_shunt_2

Clinical Signs

  • "Not Doing Right"
  • Polydipsia
  • Polyuria
  • Stranguria

Urinalysi

  • Protein Present
  • Specific Gravity Low
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