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KMID : 1094020140310040316
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Journal of Veterinary Clinics
2014 Volume.31 No. 4 p.316 ~ p.318
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A Case of Portosystemic Shunt in a Domestic Shorthair Cat
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Cho Eun-kwang
Jeong Ye-Chan
Choi Ul-Soo
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Abstract
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A 3-year-old castrated male domestic shorthair cat was presented with a chief complaint of sudden onsetof intermittent seizures occurring five times a day. Physical examination revealed the copper colored iris and loss ofmenace response at both eyes. Abnormalities of blood works and serum chemistry revealed mild erythrocytosis, severemicrocytosis, and threefold increase in ALT activity. Additional liver function tests results were increased bile acidand NH3 concentration. Radiographic study revealed multifocal nodules of the liver and an extrahepatic shunt was notedby ultraonography, which was confirmed by computed tomography as multiple extrahepatic shunts. The cat wasscheduled for surgery applying an ameloid ring to occlude the shunt gradually. Diazepam and lactulose were institutedto the patient. However, clinical signs worsened despite medical management with shortened interval of seizures andthe patient died due to cardiac arrest.
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KEYWORD
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portosystemic shunt, extrahepatic, Domestic shorthair cat
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