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Peer-reviewed veterinary case report

Dog with two congenital liver shunts

By Leeman, Jessica J et al.·Published in Journal of the American Animal Hospital Association·2013·Department of Small Animal Clinical Sciences, United States·View original on PubMed

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Original publication title: Multiple congenital PSS in a dog: case report and literature review.

Species:
dog

Plain-English summary

A 4-year-old spayed female mixed-breed dog was brought in because her liver enzymes had been high for two years. After running a CT scan, the vet discovered she had two congenital portosystemic shunts (abnormal blood vessels that bypass the liver) and double right renal veins. The vet successfully treated her by using a technique called cellophane banding to close off the shunts. Thanks to the CT scan, they were able to accurately diagnose and plan the surgery, leading to a positive outcome for the dog.

People also search for: dog liver problems · portosystemic shunt treatment · high liver enzymes in dogs

Abstract

A 4 yr old spayed female mixed-breed dog presented with a 2 yr history of recurring increases in liver enzymes. Two congenital portosystemic shunts (PSSs) were identified using computed tomography (CT) angiography, which included a portoazygous and portorenal extrahepatic shunt. Double right renal veins were also identified. The shunts were successfully identified and attenuated with cellophane banding. Multiple congenital PSS is a rare phenomenon, but should be considered during exploratory laparotomy for PSS and in dogs with poor response to surgical attenuation of a single PSS. CT proved to be a crucial part of accurate diagnosis and surgical planning for this dog with multiple congenital PSS.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23690491/