Peer-reviewed veterinary case report
Minimally invasive coil treatment for mesenteric fistulas in two
By Cocca, Christina J et al.·Published in Journal of the American Veterinary Medical Association·2017·View original on PubMed →
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Original publication title: Minimally invasive treatment of mesenteric arterioportal fistulas in two dogs.
- Species:
- dog
Plain-English summary
Two Pembroke Welsh Corgis were brought in with serious stomach issues, including not wanting to eat, diarrhea, tiredness, and excessive drooling. After tests like ultrasounds and CT scans, it was found that one dog had a fistula (an abnormal connection) between blood vessels in the abdomen, while the other had similar issues in two areas. Both dogs underwent a minimally invasive procedure to close these fistulas using coils, which was successful. About a year later, one dog had some recurring symptoms that needed further treatment, but overall, the procedure showed promise for this type of condition in dogs.
People also search for: dog diarrhea and lethargy · Pembroke Welsh Corgi stomach issues · minimally invasive treatment for dog fistulas
Abstract
CASE DESCRIPTION Two Pembroke Welsh Corgis with gastrointestinal signs including inappetence, diarrhea, lethargy, and hypersalivation were referred for evaluation. CLINICAL FINDINGS Diagnostic testing included abdominal ultrasonography and CT angiography. One patient had a cranial mesenteric artery-to-mesenteric vein fistula with multiple acquired extrahepatic portosystemic shunts. The second patient had both cranial and caudal mesenteric artery-to-mesenteric vein fistulas and multiple acquired extrahepatic portosystemic shunts. TREATMENT AND OUTCOME Both patients underwent minimally invasive coil embolization of the mesenteric arterioportal fistulas, with complete occlusion confirmed by means of angiography at procedure completion. Clinical outcome approximately 1 year after treatment was assessed as fair to good because of recurrence of clinical signs that required medical management in 1 dog and some persistent serum biochemical abnormalities. CLINICAL RELEVANCE Outcome for the 2 patients described suggested that coil embolization may be a feasible and effective minimally invasive technique for the treatment of mesenteric arterioportal fistulas in dogs. However, further investigation of the potential for chronic hepatic disease in patients with a history of acquired portosystemic shunts is warranted.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/29154701/