Extrahepatic portosystemic shunt in a 8 month-old female maltese dog
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Semina. Ciências Agrárias (Online) |
Texto Completo: | https://ojs.uel.br/revistas/uel/index.php/semagrarias/article/view/2844 |
Resumo: | The shunt portosystemic or portosystemic deviation (PSD) are unique or multiples vascular communications between the systemic circulaton and the portal circulation, that permit blood flow reaches the circulatory system without first passing trhought the hepatic metabolization. May be acquired or congenital and can also be classified as intrahepatic located within the liver or extrahepatic located outside the liver parenquima. The acquired form is usually associated with intra-hepatic disorders. They usually suggest tortuous vessels that communicate with the caudal vena cava in the region of the left kidney. The congenital form is associated with genetic lineage and one of the most affected is Maltese breed. This case report describes the diagnostis and treatment of a eight year-old female Maltese dog presenting extrahepatic Portosystemic Shunt. The patient showed signs of hepatic encephalopathy, such as restlessnees, weakness, deambulation, head tremor and impaired visual. Complementary exam demonstrated: postprandial glicemia near the lower limit of reference, alkaline phosphatase (ALP) and alanine aminotransferase (ALT) increased and hipoalbuminemia. Ultrasonography revealed the presence of vesical calculus and bilateral kidney, liver decreases and increased echogenicity, gallbladder with anechoic content and high cellularity may suggest liver/ colangiohepatopatia and extrahepatic DPS was detected. The use of Doppler assisted in identifying the location of the bypass communication and the turbulence detecting the extrahepatic DPS. Protein-restricted diet and antibiotic therapy with amoxicillin achieved good results. The clinical treatment was decided make only the clinical and maintain the quality of life of the patient. |
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Extrahepatic portosystemic shunt in a 8 month-old female maltese dogShunt portossistêmico extra-hepático em cadela maltês de 8 mesesPortosystemic shuntMalteseDiagnosis and treatment.Shunt portossistêmicoMaltêsDiagnósticoTratamento.The shunt portosystemic or portosystemic deviation (PSD) are unique or multiples vascular communications between the systemic circulaton and the portal circulation, that permit blood flow reaches the circulatory system without first passing trhought the hepatic metabolization. May be acquired or congenital and can also be classified as intrahepatic located within the liver or extrahepatic located outside the liver parenquima. The acquired form is usually associated with intra-hepatic disorders. They usually suggest tortuous vessels that communicate with the caudal vena cava in the region of the left kidney. The congenital form is associated with genetic lineage and one of the most affected is Maltese breed. This case report describes the diagnostis and treatment of a eight year-old female Maltese dog presenting extrahepatic Portosystemic Shunt. The patient showed signs of hepatic encephalopathy, such as restlessnees, weakness, deambulation, head tremor and impaired visual. Complementary exam demonstrated: postprandial glicemia near the lower limit of reference, alkaline phosphatase (ALP) and alanine aminotransferase (ALT) increased and hipoalbuminemia. Ultrasonography revealed the presence of vesical calculus and bilateral kidney, liver decreases and increased echogenicity, gallbladder with anechoic content and high cellularity may suggest liver/ colangiohepatopatia and extrahepatic DPS was detected. The use of Doppler assisted in identifying the location of the bypass communication and the turbulence detecting the extrahepatic DPS. Protein-restricted diet and antibiotic therapy with amoxicillin achieved good results. The clinical treatment was decided make only the clinical and maintain the quality of life of the patient. O shunt portossistêmico ou desvio portossistêmico (DPS) são comunicações vasculares únicas ou múltiplas entre a circulação sistêmica e a circulação portal, que permite que o sangue portal chegue ao sistema circulatório sem antes passar pela metabolização hepática. Podem ser adquiridos ou congênitos e também podem ser classificados como intra-hepático, localizado dentro do fígado, ou extra-hepático, localizado fora do parênquima hepático. A forma adquirida normalmente está associada com distúrbios intra-hepáticos. Eles normalmente sugerem vasos tortuosos que se comunicam com a veia cava caudal na região do rim esquerdo. A forma congênita está associada a genética e uma das linhagens mais acometidas é a raça maltês. O presente relato de caso descreve o diagnóstico e tratamento de uma cadela maltês de oito meses de idade com Shunt portossistêmico extra-hepático. A paciente apresentava sinais de encefalopatia hepática, como: inquietação, locomoção apoiando-se nas paredes, compressão da cabeça contra a parede, tremores de cabeça e deficiência visual. Exames complementares constataram: glicemia pós-prandial próximo do valor inferior de referência, fosfatase alcalina (FA) e alanina aminotransferase (ALT) aumentadas e hipoalbuminemia. A ultra-sonografia revelou a presença de cálculo vesical e cálculo renal bilateral, fígado diminuído e aumento da ecogenicidade, vesícula biliar com conteúdo anecóico e alta celularidade podendo sugerir hepatopatia/ colangiohepatopatia e detectou DPS extra-hepático. O uso do Doppler auxiliou na localização do desvio identificando a comunicação e a turbulência certificando-se do DPS extra-hepático. Dieta com restrição protéica e antibioticoterapia com amoxicilina obtiveram bons resultados. Optou-se em fazer apenas o tratamento clínico e manter a qualidade de vida da paciente.UEL2011-07-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.uel.br/revistas/uel/index.php/semagrarias/article/view/284410.5433/1679-0359.2011v32n2p739Semina: Ciências Agrárias; Vol. 32 No. 2 (2011); 739-746Semina: Ciências Agrárias; v. 32 n. 2 (2011); 739-7461679-03591676-546Xreponame:Semina. Ciências Agrárias (Online)instname:Universidade Estadual de Londrina (UEL)instacron:UELporhttps://ojs.uel.br/revistas/uel/index.php/semagrarias/article/view/2844/8433Copyright (c) 2016 Semina: Ciências Agráriasinfo:eu-repo/semantics/openAccessReginatto, Rafaella CristinaFrehse, Michele SalmonTanaka, Neide MarikoFávero, Vinícius GuariniSprea, GiseleBach, Fernando SwiechSanson, Marcelus Natal2016-03-09T18:29:12Zoai:ojs.pkp.sfu.ca:article/2844Revistahttp://www.uel.br/revistas/uel/index.php/semagrariasPUBhttps://ojs.uel.br/revistas/uel/index.php/semagrarias/oaisemina.agrarias@uel.br1679-03591676-546Xopendoar:2016-03-09T18:29:12Semina. Ciências Agrárias (Online) - Universidade Estadual de Londrina (UEL)false |
dc.title.none.fl_str_mv |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog Shunt portossistêmico extra-hepático em cadela maltês de 8 meses |
title |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog |
spellingShingle |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog Reginatto, Rafaella Cristina Portosystemic shunt Maltese Diagnosis and treatment. Shunt portossistêmico Maltês Diagnóstico Tratamento. |
title_short |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog |
title_full |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog |
title_fullStr |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog |
title_full_unstemmed |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog |
title_sort |
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog |
author |
Reginatto, Rafaella Cristina |
author_facet |
Reginatto, Rafaella Cristina Frehse, Michele Salmon Tanaka, Neide Mariko Fávero, Vinícius Guarini Sprea, Gisele Bach, Fernando Swiech Sanson, Marcelus Natal |
author_role |
author |
author2 |
Frehse, Michele Salmon Tanaka, Neide Mariko Fávero, Vinícius Guarini Sprea, Gisele Bach, Fernando Swiech Sanson, Marcelus Natal |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Reginatto, Rafaella Cristina Frehse, Michele Salmon Tanaka, Neide Mariko Fávero, Vinícius Guarini Sprea, Gisele Bach, Fernando Swiech Sanson, Marcelus Natal |
dc.subject.por.fl_str_mv |
Portosystemic shunt Maltese Diagnosis and treatment. Shunt portossistêmico Maltês Diagnóstico Tratamento. |
topic |
Portosystemic shunt Maltese Diagnosis and treatment. Shunt portossistêmico Maltês Diagnóstico Tratamento. |
description |
The shunt portosystemic or portosystemic deviation (PSD) are unique or multiples vascular communications between the systemic circulaton and the portal circulation, that permit blood flow reaches the circulatory system without first passing trhought the hepatic metabolization. May be acquired or congenital and can also be classified as intrahepatic located within the liver or extrahepatic located outside the liver parenquima. The acquired form is usually associated with intra-hepatic disorders. They usually suggest tortuous vessels that communicate with the caudal vena cava in the region of the left kidney. The congenital form is associated with genetic lineage and one of the most affected is Maltese breed. This case report describes the diagnostis and treatment of a eight year-old female Maltese dog presenting extrahepatic Portosystemic Shunt. The patient showed signs of hepatic encephalopathy, such as restlessnees, weakness, deambulation, head tremor and impaired visual. Complementary exam demonstrated: postprandial glicemia near the lower limit of reference, alkaline phosphatase (ALP) and alanine aminotransferase (ALT) increased and hipoalbuminemia. Ultrasonography revealed the presence of vesical calculus and bilateral kidney, liver decreases and increased echogenicity, gallbladder with anechoic content and high cellularity may suggest liver/ colangiohepatopatia and extrahepatic DPS was detected. The use of Doppler assisted in identifying the location of the bypass communication and the turbulence detecting the extrahepatic DPS. Protein-restricted diet and antibiotic therapy with amoxicillin achieved good results. The clinical treatment was decided make only the clinical and maintain the quality of life of the patient. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-07-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.uel.br/revistas/uel/index.php/semagrarias/article/view/2844 10.5433/1679-0359.2011v32n2p739 |
url |
https://ojs.uel.br/revistas/uel/index.php/semagrarias/article/view/2844 |
identifier_str_mv |
10.5433/1679-0359.2011v32n2p739 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://ojs.uel.br/revistas/uel/index.php/semagrarias/article/view/2844/8433 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Semina: Ciências Agrárias info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 Semina: Ciências Agrárias |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
UEL |
publisher.none.fl_str_mv |
UEL |
dc.source.none.fl_str_mv |
Semina: Ciências Agrárias; Vol. 32 No. 2 (2011); 739-746 Semina: Ciências Agrárias; v. 32 n. 2 (2011); 739-746 1679-0359 1676-546X reponame:Semina. Ciências Agrárias (Online) instname:Universidade Estadual de Londrina (UEL) instacron:UEL |
instname_str |
Universidade Estadual de Londrina (UEL) |
instacron_str |
UEL |
institution |
UEL |
reponame_str |
Semina. Ciências Agrárias (Online) |
collection |
Semina. Ciências Agrárias (Online) |
repository.name.fl_str_mv |
Semina. Ciências Agrárias (Online) - Universidade Estadual de Londrina (UEL) |
repository.mail.fl_str_mv |
semina.agrarias@uel.br |
_version_ |
1799306055357825024 |