Hypernatraemia following surgery for a congenital extrahepatic portosystemic shunt in a Shih Tzu presenting with marked polyuria and polydipsia

Valentina Andreoni; Thurid Johnstone; Robert Furneaux

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Hypernatraemia following surgery for a congenital extrahepatic portosystemic shunt in a Shih Tzu presenting with marked polyuria and polydipsia

机译：先天性Hypernatraemia手术后西施犬肝外门体静脉的分流出现多尿、烦渴

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A 3-year-old male shih Tzu was referred to the University Veterinary Hospital of the University College Dublin with a suspicion of congenital hepatopathy based on investigations performed by the referring veterinarian. presenting signs were polyuria and polydipsia, vomiting, picky appetite and weight loss. Liver function test abnormalities and hyposthenuric urine were found during diagnostic work-up. Abdominal ultrasound identified an extrahepatic portosystemic shunt, which was temporarily occluded using a Rummel tourniquet and then completely ligated with nylon. recovery was smooth and uneventful. Behavioural activity was considered normal until the next day when the dog developed tonic—clonic seizures. Clinicopathological assessment revealed hypernatraemia as the potential cause of the seizures. Despite intensive care, the patient died. post-mortem findings were consistent with cerebral oedema and acute cerebrocortical necrosis.

机译：一个三岁的男性狮子狗是指大学大学兽医院都柏林大学与先天性的怀疑根据调查由肝病是兽医。多尿、烦渴、呕吐、挑剔的胃口和体重减轻。发现了异常,hyposthenuric尿液在的诊断检查。确定一个肝外门体静脉的分流,这是使用Rummel暂时阻挡吗止血带,然后完全结扎尼龙。行为活动被认为是正常的,直到第二天,这只狗tonic-clonic开发癫痫发作。hypernatraemia的潜在原因癫痫发作。死亡。脑水肿和急性cerebrocortical坏死。

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来源
《Veterinary Record Case Reports》 |2019年第3期|e000790/1-e000790/5|共5页
作者
Valentina Andreoni; Thurid Johnstone; Robert Furneaux;
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作者单位

Faculty of Veterinary Agricultural sciences, translational research and Animal Clinical trial study Group (TRACTs), U-Vet Animal Hospital, University of Melbourne Veterinary Clinic and Hospital, Werribee, Victoria, Australia;

Animal Health trust, Kentford, Newmarket, UK;

Consultant Veterinary surgeon, Robertson, New south Wales, Australia;

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正文语种英语
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关键词
Shih Tzu; Congenital extrahepatic portal-systemic shunt; Animal HospitalsHypernatremiaSurgeryPolyuriaPolydipsiacollegesSeizuresBrain EdemaSurgical Portosystemic ShuntTransabdominal Ultrasound;

机译：狮子狗;先天性肝外门户系统分流;动物;

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1. Congenital extrahepatic portosystemic shunt complicated by the development of hepatocellular carcinoma [J] . Ruchi Sharma, Abid Suddle, Alberto Quaglia, 国际肝胆胰疾病杂志（英文版） . 2015,第5期
2. Liver resection for the treatment of a congenital intrahepatic portosystemic venous shunt [J] . Michail Papamichail, Amir Ali, Alberto Quaglia, 国际肝胆胰疾病杂志（英文版） . 2016,第3期
3. Surgical portosystemic shunts to facilitate major intrabdominal surgery [J] . Michail Pizanias, Elissaios Kontis, Evangelos Prassas, 国际肝胆胰疾病杂志（英文版） . 2019,第005期

Hypernatraemia following surgery for a congenital extrahepatic portosystemic shunt in a Shih Tzu presenting with marked polyuria and polydipsia

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