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Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture
CASE SUMMARY: A cat with a chronic diaphragmatic rupture presented with neurological signs, including twitching and focal seizures. Blood ammonia level was markedly elevated and therefore neurological signs were thought to be related to hepatic encephalopathy. Exploratory laparotomy revealed that th...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5362922/ https://www.ncbi.nlm.nih.gov/pubmed/28491353 http://dx.doi.org/10.1177/2055116915585020 |
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author | Barfield, Dominic M Gibson, Andrew D Lipscomb, Vicky J |
author_facet | Barfield, Dominic M Gibson, Andrew D Lipscomb, Vicky J |
author_sort | Barfield, Dominic M |
collection | PubMed |
description | CASE SUMMARY: A cat with a chronic diaphragmatic rupture presented with neurological signs, including twitching and focal seizures. Blood ammonia level was markedly elevated and therefore neurological signs were thought to be related to hepatic encephalopathy. Exploratory laparotomy revealed that the left lateral and medial liver lobes were herniated into the thorax and multiple acquired portosystemic shunts (MAPSS) were present. The hernia was reduced and the diaphragm repaired. Neurological signs gradually resolved following surgery and 1 year postoperatively the cat was clinically normal, was not on any medication and had no evidence of hepatic dysfunction. RELEVANCE AND NOVEL INFORMATION: This is the first report of a chronic diaphragmatic rupture leading to MAPSS in a cat. |
format | Online Article Text |
id | pubmed-5362922 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-53629222017-05-10 Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture Barfield, Dominic M Gibson, Andrew D Lipscomb, Vicky J JFMS Open Rep Case Report CASE SUMMARY: A cat with a chronic diaphragmatic rupture presented with neurological signs, including twitching and focal seizures. Blood ammonia level was markedly elevated and therefore neurological signs were thought to be related to hepatic encephalopathy. Exploratory laparotomy revealed that the left lateral and medial liver lobes were herniated into the thorax and multiple acquired portosystemic shunts (MAPSS) were present. The hernia was reduced and the diaphragm repaired. Neurological signs gradually resolved following surgery and 1 year postoperatively the cat was clinically normal, was not on any medication and had no evidence of hepatic dysfunction. RELEVANCE AND NOVEL INFORMATION: This is the first report of a chronic diaphragmatic rupture leading to MAPSS in a cat. SAGE Publications 2015-06-01 /pmc/articles/PMC5362922/ /pubmed/28491353 http://dx.doi.org/10.1177/2055116915585020 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm). |
spellingShingle | Case Report Barfield, Dominic M Gibson, Andrew D Lipscomb, Vicky J Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture |
title | Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture |
title_full | Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture |
title_fullStr | Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture |
title_full_unstemmed | Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture |
title_short | Multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture |
title_sort | multiple acquired portosystemic shunts in a cat secondary to chronic diaphragmatic rupture |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5362922/ https://www.ncbi.nlm.nih.gov/pubmed/28491353 http://dx.doi.org/10.1177/2055116915585020 |
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