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.
Case Study
CT Extrahepatic Portosystemic Shunt in a 2 year old FS Chihuahua dog
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.
DX
Large solitary extrahepatic portosystemic shunt
Outcome
Recommend surgical attenuation of the shunt vessel as clinically indicated.
Video
Video Player
00:00
00:00
Video Player
00:00
00:00
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
Clinical Signs
- "Not Doing Right"
- Polydipsia
- Polyuria
- Stranguria
Urinalysi
- Protein Present
- Specific Gravity Low