Congenital portosystemic shunts and hepatic encephalopathy in goat kids in California

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Hepatic Encephalopathy due to Congenital Multiple Intrahepatic Portosystemic Venous Shunts Successfully Treated by Percutaneous Transhepatic Obliteration

Hepatic encephalopathy due to intrahepatic portosystemic venous shunts (IPSVS) in a non-cirrhotic condition is rare. Here we report a rare case of a patient with congenital multiple IPSVS successfully treated by percutaneous transhepatic obliteration. The patient was a 67-year-old woman who presented to our hospital with progressive episodes of consciousness disorder and vomiting. Laboratory te...

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Imaging of Congenital Portosystemic Shunts

T he normal portal vascular system transports venous blood from the stomach, intestines, spleen, and pancreas to the hepatic sinusoids and ultimately the hepatic veins and caudal vena cava. Portosystemic shunting (PSS) occurs when abnormal vascular connections occur between the portal and systemic venous systems, bypassing the liver. This can be acquired secondary to portal hypertension arising...

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Portosystemic shunts in dogs and cats: definition, epidemiology and clinical signs of congenital portosystemic shunts

Congenital portosystemic shunts (CPSS) are hepatic vascular anomalies which can affect any breed of dog or cat. Extrahepatic CPSS are most commonly observed in cats and small dogs, whereas intrahepatic CPSS are more likely to affect large breed dogs. A hereditary basis has been observed in some dog breeds. Affected animals are usually presented at young age with a variety of neurological, gastr...

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Portosystemic shunts in dogs and cats: laboratory diagnosis of congenital portosystemic shunts

The most frequent laboratory abnormalities in patients with congenital portosystemic shunts (CPSS) are microcytosis, hypoglycemia, hypoalbuminemia, hypoproteinemia, increased liver enzyme activities, decreased blood urea nitrogen (BUN) and urate crystalluria. The microcytosis is probably due to impaired iron transport. Hypoglycemia, hypoalbuminemia, hypoproteinemia and decreased BUN are partly ...

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Hyperammonemia and Systemic Inflammatory Response Syndrome Predicts Presence of Hepatic Encephalopathy in Dogs with Congenital Portosystemic Shunts

Hepatic encephalopathy (HE) is an important cause of morbidity and mortality in patients with liver disease. The pathogenesis of he is incompletely understood although ammonia and inflammatory cytokines have been implicated as key mediators. To facilitate further mechanistic understanding of the pathogenesis of HE, a large number of animal models have been developed which often involve the surg...

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ژورنال

عنوان ژورنال: Journal of Veterinary Diagnostic Investigation

سال: 2014

ISSN: 1040-6387,1943-4936

DOI: 10.1177/1040638713518050