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Surgical management of an extrahepatic portosystemic shunt in a foal: A multidisciplinary problem
Author(s) -
Woodford N. S.,
Hotson Moore A.,
Renfrew H.,
Tulloch L.,
Casey M.
Publication year - 2017
Publication title -
equine veterinary education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 31
eISSN - 2042-3292
pISSN - 0957-7734
DOI - 10.1111/eve.12524
Subject(s) - foal , medicine , portosystemic shunt , surgery , laparotomy , shunt (medical) , abdominal ultrasonography , shunting , occlusion , ultrasonography , gastroenterology , portal hypertension , cirrhosis , archaeology , history
Summary A 5‐week‐old American Miniature filly was referred due to intermittent neurological signs of 4 weeks' duration. Clinicopathological findings showed increased ammonia and bile acids in venous blood samples. Abdominal ultrasonography detailed a portosystemic shunt (PSS). The foal underwent laparotomy and operative mesenteric portovenography, which further defined the PSS as extrahepatic portocaval in configuration. The PSS was occluded and intraoperative portovenography confirmed successful shunt occlusion. The foal made a good recovery from surgery and had a successful showing career until she succumbed to colic just over 3 years after surgery.