Sonopath Forum

Porto-caval shunting-Persian kitten

hi again,

I would like your opinion on this. Ashley is a 5months old, underdeveloped, copper-eyed, persian kitten, MI, who was presented for signs of HE and actually responded fairly well to metronidazole and lactulose. I scanned him and found what I believe are 2 9or in some videos may be 3) shunting vessels from PV to CVC. i could see turbulence at the CVC entry and portal vein appeared smaller on the proximal aspect. I have not recorded CVC nor PV flow profiles (PW doppler). Do you agree with this findings?.

hi again,

Also, there appears to be generally prominent LNs in mesentery-Small intestine. I recall Pankatz (I think) mentioning that she finds prominent mesenteric LNs in very young patients and I seem to find this as well. How true can this be? Should I give more importance to this finding in this patient?. Thanks for any input.

Comments

January 20, 2016 at 12:09 pm -

Well video 3 is suggestive

Well video 3 is suggestive and almost looks like a splenoazygos shunt but I can’t call it clean here… copper colored irises and if BA is up and protein c is down then it all spells shunt… we havent done a study on cats regarding frequency of big kidneys bladder sand/stones like in dogs but were any of these present? Shunt cats can have normal liver size so I don’t use that as supportive criteria.

Anonymous

January 20, 2016 at 12:28 pm -

HI, so…not porto caval,

HI, so…not porto caval, then…

There was bladder sand and kidneys…normal to biggish, i’ll review the images…I struggle to identify the abnormal vascular anatomy…I can see it appears abnormal to me and at the moment of scanning I thought it was obviously linking PV to CdVC…but…how can I get a better view…these clips were all from right side, sagittal, with patient on right lateral recumbency…

Bile acids were not done.

thanks for input…