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This 1 year old MN DSH cat has hepatic encephalopathy, resposive to clindamycin and lactulose. Bile acids pre 127, bile acids post 260.
This 1 year old MN DSH cat has hepatic encephalopathy, resposive to clindamycin and lactulose. Bile acids pre 127, bile acids post 260.
The liver presented mild coarse architecture and increased portal markings. The portal vein revealed a 1:1 with the vena cava. This would be abnormal in dogs; however, cats can have a normal portal vein to vena cava ratio. The portal vein measured 0.55 cm, vena cava 0.47 cm. The portal vein continued deep into the cranial liver until its separation. However, a definitive splenocaval shunt was identified approximately 1.0 cm prior to the portal hilus and measured 0.5 cm in width. This decoursed dorsally and then entered the vena cava dorsally with an undulating contour. The length of the shunt was approximately 1.5 cm with a width of 0.5 cm.
Recommend surgical intervention with ameroid constrictor therapy and concurrent
liver biopsy +/- renal biopsy.
