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Anomalous hepatic vessels in an old dog

Hi there

  • This is a 12 year old FS boxer mix dog with recent onset hematemesis.
  • Dog has a PCV of 25%, ALP is>1000, ALT mildly elevated. BUN elevated at 58, creat normal.
  • Clotting times pending. 
  • No other overt abnormalities, some shadowing material in stomach but dog had eaten this morning. I did not see any clots.
  • Would these be considered acquired shunts? What does this indicate? 
  • Thanks for any help,

Liz

 

Hi there

  • This is a 12 year old FS boxer mix dog with recent onset hematemesis.
  • Dog has a PCV of 25%, ALP is>1000, ALT mildly elevated. BUN elevated at 58, creat normal.
  • Clotting times pending. 
  • No other overt abnormalities, some shadowing material in stomach but dog had eaten this morning. I did not see any clots.
  • Would these be considered acquired shunts? What does this indicate? 
  • Thanks for any help,

Liz

 

Liz

7 responses to “Anomalous hepatic vessels in an old dog”

  1. From the history looks like

    From the history looks like acute hepatopathy with either primary or secondary gastric ulceration/gastric hemorrhage. Not sure about the hepatic vessel and may be an incidental finding – acquired shunts usually associated with chronic liver disease rather than acute disease.

  2. There were multiple vessels

    There were multiple vessels like this throughout an enlarged and hyperechoic liver. Does that make a difference?

     

  3. This is odd because acquired

    This is odd because acquired shunts are typically extrahepatic with ascites and edematous pancreas and spleen. Im thinking intrahepatic vascular anomaly that this dog has been living with and now acute inflammatory disease.

    CT with contrast would be the way to go here

  4. Would get the liver and

    Would get the liver and ulcer/hemorrhage under control before doing anesthesia/sedation for the CT.

  5. CT won’t ever happen. Limited

    CT won’t ever happen. Limited funds. Coags normal. Thanks guys! 

  6. Go for ursodeoxycholic,

    Go for ursodeoxycholic, gastric protectants (omeprazole, sulcralfate), anti-emetics, liver diet.

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