Foreign Body and Liver Shunt in a 3-Month-Old Intact Male Bernadoodle: Our Case Of the Month
Double trouble for a young Bernadoodle. An abdominal ultrasound to determine if this fuzzy guy had a gastrointestinal foreign body led to the discovery of a liver shunt, in addition to a foreign body obstruction. Shari Reffi, CVT, SDEP® certified clinical sonographer for SonoPath Mobile Veterinary Ultrasound captured the diagnostic images for this problematic case. Detailed interpretation by Eric Lindquist, DMV, DABVP, Cert. IVUSS
Possible intestinal foreign body, lethargy, weakness. Panting on presentation. Current meds: Cerenia, Unasyn, IVF, Barium series started at 5pm. CBC and blood chemistry from 2/15 showed: WBC 22.57, Neu 18.66, HGB 11.4, PLT 128,. Na 144, ALT 440, ALP 379, GGT 12. In house u/a- USG 1.062, 2wbc/hpf, no bacteria, crystals unclassified 1-5/hpf. U/A pending.
Gastrointestinal: The gastric wall was thickened. The distal small intestine revealed a shadowing foreign body with upper intestinal stasis. The dilated small intestine was followed by the obstructed foreign body, which was followed by empty small intestine that created an obstructive pattern. The obstructed foreign body measured approximately 1.5 cm.
Liver: Microhepatica was present. An intrahepatic right divisional shunt was noted in this patient. The shunt connected the right branch to the portal vein to the vena cava. The shunt measured 1.3 cm at its maximum diameter. The portal vein to vena cava ratio at the portal hilus was 1:1.