Pylorogastric intussusception in a puppy with a congenital intrahepatic shunt

Kód výsledku v IS VaVaI

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RIV/62157124:16810/19:43877635

Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Pylorogastric intussusception in a puppy with a congenital intrahepatic shunt

Popis výsledku v původním jazyce

To report the first case of intrahepatic portosystemic shunt and concurrent pylorogastric intussusception in a dog. Methods: Case report of a single patient describing intrahepatic portosystemic shunt and concurrent pylorogastric intussusception in a dog. Results: A 16-week-old female entire Akita-Inu puppy presented for investigation of abdominal distention, acute vomiting and transient diarrhoea. After removal of transudate by abdominocentesis, abdominal ultrasound revealed a small and diffusely hyperechoic liver without visualisation of parenchymatous branching of portal vessels and abnormal tortuous course of the intrahepatic vessel connecting the portal vein and caudal vena cava in the right liver lobes. Additionally, pylorogastric intussusception was detected. The pylorus and proximal duodenum were displaced into the pyloric antrum and fundus. Multiple concentric echogenic and echolucent rings were visible on transverse section and colour Doppler ultrasonography revealed blood flow in vessels of the intussuscepted segment of stomach. Due to high surgical costs, medical management with amoxicillin clavulanic acid (12.5mg/kg PO q12h), lactulose (5ml PO q8h), famotidine (0.5mg/kg PO q24) and probiotics (1g PO q24) was elected. Three weeks later, abdominal ultrasound revealed a large amount of free anechogenic fluid in the abdomen and due to clinical deterioration, poor prognosis and financial concerns for coil embolisation, the puppy was euthanised. Clinical Significance: This is the first report in veterinary literature describing the occurrence of an intrahepatic portosystemic shunt and concurrent pylorogastric intussusception. Pylorogastric intussusceptions can resolve spontaneously, however, they can be life threatening and the diagnosis can be made based on abdominal ultrasonographic findings.

Název v anglickém jazyce

Pylorogastric intussusception in a puppy with a congenital intrahepatic shunt

Popis výsledku anglicky

To report the first case of intrahepatic portosystemic shunt and concurrent pylorogastric intussusception in a dog. Methods: Case report of a single patient describing intrahepatic portosystemic shunt and concurrent pylorogastric intussusception in a dog. Results: A 16-week-old female entire Akita-Inu puppy presented for investigation of abdominal distention, acute vomiting and transient diarrhoea. After removal of transudate by abdominocentesis, abdominal ultrasound revealed a small and diffusely hyperechoic liver without visualisation of parenchymatous branching of portal vessels and abnormal tortuous course of the intrahepatic vessel connecting the portal vein and caudal vena cava in the right liver lobes. Additionally, pylorogastric intussusception was detected. The pylorus and proximal duodenum were displaced into the pyloric antrum and fundus. Multiple concentric echogenic and echolucent rings were visible on transverse section and colour Doppler ultrasonography revealed blood flow in vessels of the intussuscepted segment of stomach. Due to high surgical costs, medical management with amoxicillin clavulanic acid (12.5mg/kg PO q12h), lactulose (5ml PO q8h), famotidine (0.5mg/kg PO q24) and probiotics (1g PO q24) was elected. Three weeks later, abdominal ultrasound revealed a large amount of free anechogenic fluid in the abdomen and due to clinical deterioration, poor prognosis and financial concerns for coil embolisation, the puppy was euthanised. Clinical Significance: This is the first report in veterinary literature describing the occurrence of an intrahepatic portosystemic shunt and concurrent pylorogastric intussusception. Pylorogastric intussusceptions can resolve spontaneously, however, they can be life threatening and the diagnosis can be made based on abdominal ultrasonographic findings.

Druh

O - Ostatní výsledky

CEP obor

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OECD FORD obor

40301 - Veterinary science

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů