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Peer-reviewed veterinary case report

Dalmatian dog treated for portal vein blood clot with implanted port

By Tomohiko Yoshida et al.·Published in Open Veterinary Journal·2022·Department of Veterinary Surgery, Faculty of Veterinary Medicine, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo 183-8509, Japan, LY·View original on DOAJ

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Original publication title: Treatment of portal vein thrombosis using vascular access port implantation in a Dalmatian dog: A case report

Species:
dog

Plain-English summary

A 10-year-old Dalmatian was brought in for fainting spells and high levels of waste products in the blood. After tests, the dog was diagnosed with acute portal vein thrombosis, a serious condition that can lead to severe complications. To treat this, a special port was surgically placed in the dog's abdomen, allowing for direct delivery of medication to manage the blood clot. Following the procedure, the dog responded well, with symptoms resolving and no signs of relapse six months later.

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Abstract

Background: Portal vein thrombosis is a disease with potentially deleterious outcomes including portal vein hypertension and intestinal infarction. The factors contributing is various, however, dogs with acute portal vein thrombosis or multiple thromboses are less likely to survive. Therefore, acute development of portal hypertension has a requires immediate treatment. Case Description: A 10-year-old Dalmatian was referred for syncope and azotemia, hyperammonemia. After each examinations including CT scan, we diagnosed with acute portal vein thrombosis with unknown cause. A portal vein port was inserted to prevent and control the portal vein thrombus. The port was placed in abdomen subcutaneously after the position of the catheter were stabilized. Low-molecular-weight heparin was injected from the port to manage thrombosis after the operation. This case responded well to this treatment. Syncope and azotemia, hyperammonemia resolved and no relapse of thrombosis was found six months after the operation. Conclusion: Implantable vascular access port is a drug delivery system with the advantage of dealing with treatment-resistant acute portal vein thrombosis.

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Original publication on DOAJ: https://doi.org/10.5455/OVJ.2022.v12.i3.8