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What Is Your Diagnosis?

Cassie N. Lux DVM1, Geraldine B. Hunt BVSc, MVetClinStud, PhD2, Alaina H. Carr DVM3, and Mathieu Spriet DVM, MS, DACVR4
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  • 1 Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.
  • | 2 Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.
  • | 3 Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.
  • | 4 Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.
History

A 2.5-year-old spayed female Jack Russell Terrier was referred for surgical attenuation of a single congenital extrahepatic portosystemic shunt that had been detected via abdominal ultrasonography. The dog had a history of intermittent vomiting, pacing, and destructive behavior with acute exacerbation immediately prior to initial evaluation by the referring veterinarian. Preprandial (180 μmol/L; reference range, 0 to 12 μmol/L) and postprandial (246 μmol/L; reference rage, 0 to 16 μmol/L) serum bile acids concentrations were high, and serum biochemical analysis revealed hypoproteinemia (5.3 g/dL; reference range, 5.4 to 7.6 g/dL) and hypocholesterolemia (77 mg/dL; reference range, 135 to 361 mg/dL).

History

A 2.5-year-old spayed female Jack Russell Terrier was referred for surgical attenuation of a single congenital extrahepatic portosystemic shunt that had been detected via abdominal ultrasonography. The dog had a history of intermittent vomiting, pacing, and destructive behavior with acute exacerbation immediately prior to initial evaluation by the referring veterinarian. Preprandial (180 μmol/L; reference range, 0 to 12 μmol/L) and postprandial (246 μmol/L; reference rage, 0 to 16 μmol/L) serum bile acids concentrations were high, and serum biochemical analysis revealed hypoproteinemia (5.3 g/dL; reference range, 5.4 to 7.6 g/dL) and hypocholesterolemia (77 mg/dL; reference range, 135 to 361 mg/dL).

Contributor Notes

Address correspondence to Dr. Lux (lux.cassie@gmail.com).