Canine Intrahepatic Portosystemic Shunt in a Poodle Toy: A Case Report
Keywords:
A computerized tomography scan, Canine intrahepatic portosystemic shunt, Canine, PtyalismAbstract
An 8-month-old intact female poodle visited Prasu Arthorn Animal Hospital, Mahidol University, due to disorientation, ptyalism, and vomiting. The clinical examination revealed normal findings, except for ataxia, intermittent head shaking, and a normal pupillary light reflex with anisocoria, dazzle reflex, and threat response. Biochemical parameter measurements showed high alkaline phosphatase, ammonia, and fasting serum bile acids with a low albumin value. Ultrasonography of the abdomen showed a small liver with uniformly markedly diffuse hyperechoic parenchyma and a strange vessel coming from the intrahepatic portal vein and curving into the left part of the liver before entering the caudal vena cava. A computerized tomography (CT) scan examination confirmed a single left divisional intrahepatic portosystemic shunt (IHPSS). Based on clinical and laboratory diagnosis (hemogram and biochemistry) and CT scan examinations, portosystemic shunt (PSS) was diagnosed. Medical treatments included a hepatic formula diet and lactulose (0.5 mL/kg three times a day). A significant improvement in clinical signs was observed within a month, suggesting that medical treatments might be beneficial before considering surgical interventions for PSS. This case emphasizes the need for a collaborative approach and regular follow-up care in managing canine IHPSS, and it underscores the urgent need for further research to enhance patient outcomes.
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