Intrahepatic Shunt, suspect Central Divisional or Right Divisional, in a 8-month-old, Intact Male, DSH Cat
Presented for drooling, lethargy, ataxia/falling over. Marked bile acid (pre- and post-prandial) elevation. PE: Occasional tremors in exam room, O notes ataxia at home. Occasionally falls over on side and can’t get up but seems mentally aware. Rads: Microhepatica, Loss of serosal detail, Large amount of feces in colon Labwork: Bile acids Preprandial: 110 H…