Peer-reviewed veterinary case report
Dog with two congenital portosystemic shunts including one
By MacEwan, Isobel & Thompson, Devon·Published in Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·2023·Department of Diagnostic Imaging·View original on PubMed →
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Original publication title: Intramural esophageal location of a portosystemic shunt in a dog with two congenital portosystemic shunts on CT angiography.
- Species:
- dog
Plain-English summary
A 5-year-old male neutered pug was brought to the vet because he was passing blood in his urine (hematuria). During tests, the vet discovered he had two unusual blood vessels causing a condition known as an extrahepatic portosystemic shunt, which can lead to serious health issues. One of these vessels took an unusual path through the wall of the esophagus, which is rare and hadn't been reported before. The vet used advanced imaging (CT angiography) to diagnose the problem and plan for surgery. After treatment, the pug was expected to have a better outcome.
People also search for: pug hematuria causes · portosystemic shunt surgery in dogs · dog blood in urine treatment
Abstract
A 5-year-old male neutered pug with hematuria was presented to a referral hospital after identification of an extrahepatic portosystemic shunt (EHPSS) during abdominal ultrasonography. Computed tomographic-angiography revealed two anomalous blood vessels (left gastroazygous and left gastrophrenic). The left gastroazygous vessel followed an atypical path within the dorsolateral esophageal wall before entering the azygous vein. The morphology of this highly unusual vessel has not, based on the authors' review of the literature, been previously reported. In combination with a second anomalous vessel, this resulted in a unique presentation of an EHPSS. Computed tomography-angiography was essential for diagnosis and surgical planning in this case.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37332158/