Hi, I would apprecite your interpretation of these clips:
– 5year old Male intact chihuahua cross (5kg, not too small) presented for hematuria a few weeks back. A partial urinary tract scan showed lithiasis in bladder and kidneys. Cystotomy performed and 100% urate stones retrieved. Currently asymptomatic but history of a potential seizure episode 1 year ago. Apparently the smallest of the litter. A full scan for PSS hunt performed today.
-US: lithiasis in kidneys. Bladder has mobile sediment and some sand in prostatic urethra. Liver appears small.
Hi, I would apprecite your interpretation of these clips:
– 5year old Male intact chihuahua cross (5kg, not too small) presented for hematuria a few weeks back. A partial urinary tract scan showed lithiasis in bladder and kidneys. Cystotomy performed and 100% urate stones retrieved. Currently asymptomatic but history of a potential seizure episode 1 year ago. Apparently the smallest of the litter. A full scan for PSS hunt performed today.
-US: lithiasis in kidneys. Bladder has mobile sediment and some sand in prostatic urethra. Liver appears small.
-Porta/cava system: there appears to be a vessel from porto-splenic vein to caudal vena cava . There appears to be a decreased portal vein diameter proximal to this vessel. This vessel is seen in sagittal views, right caudally to pyloric region and it is relatively of small calibre (it appears to go dorsally into CdVC-blue on doppler). Now, on trasnverse views (and also sagittal) I can also see a tortuous large vessel which I think it is abnormal but I am not clear where it goes. I see what it seems to me like “too many large vessels”…the large (0.64cm) one it appears to be spleno-caval (may be spleno azygos), the small one…it appears to drain in cava…so, I wonder whether this is a gastrocaval shunt? if so…what is the large vessel?
– What else would be the next recommendation in order to determine whether or which surgical approach is indicated? Likely this might be refered to a surgeon specialist to consider.
-Considering patient is currently asymptomatic appart from the urate formation (pretty quick after cystotomy a few weeks back), would medical treatment improve the urate formation?
-Thanks for any input and I apologize for the extra videos. I do feel frustrated with shunts…so I really hope they are diagnostic for you.