- 6 months old
- 0,8 albumin
- cholecystitis
- eosinophilia, low cholesterol
- bladder sediment
- dilated bowel loops, diarrhea
- pancreatic lobe enlargement
- anemia
-
- 6 months old
- 0,8 albumin
- cholecystitis
- eosinophilia, low cholesterol
- bladder sediment
- dilated bowel loops, diarrhea
- pancreatic lobe enlargement
- anemia
-
Aortic and portal vein similar sizes, dilated caudal vena cava, can this be a gastric-caval shunt? In Eric’s ascites class I learned that albumin below 1.5 is probably from three sources: kidney, bowel or liver. I believe this patient’s low albumin may be from the bowel loops. But I found this possible vessel abnormality, the portal vein velocity ranges from 25 to 30 cm / s, so can I exclude portal hypertension? Near the left kidney are some very strange blood vessels too!
Regards,
Adams.
Comments
Depends what the liver looks
Depends what the liver looks like. Its extremely rare that ascites occurs with primary shunting but common and expected in secondary shunting. Would need to see the liver and more views of the proximal aspect of this vessel. Ascites doesnt typiclaly occur with primary shunting because the shunt deviates the pressures in the portal system necessary for portal hypertension and secondary ascites. If PLE is present dropping albumin < 1.5 in addition to primary shunting then this theoretically can happen witth ascites but owing to the PLE and poor oncotic pressure and not the shunt.
Today they found ammonium
Today they found ammonium biurate crystals in their urine. Unfortunately the owner is unable to afford a CT scan.Eric, do you get many cases of congenital shunt without neurological manifestation?
The liver appears a little small in size but is not irregular and the gallbladder is not large relative to the hepatic lobes.In dogs can often get
In dogs can often get congenital shunts without any obvious neurological abnomalities. Some owners often only realize that the dog was duller and quieter after the shunt has been attenuated.