Peer-reviewed veterinary case report
Ultrasound-guided shunt treatment in a puppy with liver blood vessel
By Tiffinger, Kornelia et al.·Published in The Canadian veterinary journal = La revue veterinaire canadienne·2024·Veterinary Teaching Hospital, United States·View original on PubMed →
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Original publication title: Ultrasound- and fluoroscopy-guided percutaneous transhepatic shunt attenuation using a vascular plug in a complex canine intrahepatic portosystemic shunt.
- Species:
- dog
Plain-English summary
A 5-month-old Pembroke Welsh Corgi was brought to the vet because he had been very tired, not eating well, drinking a lot, and showing some neurological issues for three months. After various imaging tests, the vet found he had a complex liver shunt, which is a serious condition where blood bypasses the liver. The vet successfully treated him by placing a vascular plug to close off the shunt using a special guided technique. Four years later, the dog showed no signs of the previous issues, and the owner continued with a special diet and lactulose (a medication to help with liver function) to keep him healthy.
People also search for: puppy lethargy and inappetence · dog liver shunt treatment · Pembroke Welsh Corgi drinking a lot · dietary changes for dog liver disease
Abstract
A 5-month-old Pembroke Welsh corgi dog was presented with a 3-month history of lethargy, inappetence, polyuria/polydipsia, and neurological signs. A diagnosis of a complex multiple intrahepatic portosystemic shunt (IHPSS) configuration was obtained by computed tomography angiogram, abdominal ultrasonography, and perioperative fluoroscopic angiography. The IHPSS was successfully attenuated by shunt embolization with a vascular plug, using a direct percutaneous hepatic approach under ultrasonographic and fluoroscopic guidance. Long-term (4 y) follow-up revealed resolution of all clinical signs. The owner elected to continue dietary modification and lactulose treatment indefinitely and the outcome was considered good. Key clinical message: Direct percutaneous hepatic approach could be considered for IHPSS attenuation in select cases where traditional transvenous approach access is considered challenging.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39091474/