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PSS? Case 2

Sonopath Forum

Yes…yet another one! And I found a very similar picture just thicker vessel…so…now Im wondering it’s one of these two options: either the same shunt type or the same mistake on my side! probably the second…Any comments?

This one is 3year old FN corgi. 9kg. No symptoms. No bile acids. Multiple episodes of urate bladder stones. Microhepatica 9may be not as severe as previous case). Kidneys: 5.6 the right and 6cm the left. few poorly mineralized (poor distal shadow) calculi (small 0.15cm approx).

Yes…yet another one! And I found a very similar picture just thicker vessel…so…now Im wondering it’s one of these two options: either the same shunt type or the same mistake on my side! probably the second…Any comments?

This one is 3year old FN corgi. 9kg. No symptoms. No bile acids. Multiple episodes of urate bladder stones. Microhepatica 9may be not as severe as previous case). Kidneys: 5.6 the right and 6cm the left. few poorly mineralized (poor distal shadow) calculi (small 0.15cm approx).

In this case, the turn seems to go to a vessel with no begining! may be a porto azygos? Also looks like not going into cava form the transverse view. (case 1 the CHH seems to me a caval entry from… gastro/splenic?…)

Your interpretation is very valuable:) thanks.

..

Comments

Anonymous

Sigh… Now I think that’s
Sigh… Now I think that’s just the mesenteric vein and the splenic vein joining into portal vein… May be there is no shunt…

EL

Well the color is correct

Well the color is correct (Blue away) and the shape is correct for splenocaval shunt but I cant tell where you are with respect to the portal hilus. Needs some good sweeps cranial to these positions with resepct to the liver, cvc diaphragm and aorta. The urate stones and microhepatic ar every + predictive factors. Dont beat yourself iup its still open.

Anonymous

Just a short note to say this

Just a short note to say this case eventually had a CT scan and a shunt was confirmed. I cant remember now the name (spleno caval I think) but I can find out. So…it was:)