Scavelli T D, Hornbuckle W E, Roth L, Rendano V T, de Lahunta A, Center S A, French T W, Zimmer J F
J Am Vet Med Assoc. 1986 Aug 1;189(3):317-25.
Congenital portosystemic venous shunt causing signs of hepatic encephalopathy was diagnosed in 7 cats. The left gastric vein served as the shunt in four of these. Increases in blood ammonia and postprandial serum bile acids were the most consistent serum biochemical abnormalities. Excessive variation in red blood cell shape was a common but nonspecific hematologic finding. The jejunal-mesenteric venous injection of contrast material was the preferred method of portography to diagnose portosystemic shunts. Two cats were treated successfully by partial surgical occlusion of their shunts.
7只猫被诊断出患有先天性门体静脉分流并伴有肝性脑病症状。其中4只猫的分流血管为胃左静脉。血氨升高和餐后血清胆汁酸升高是最常见的血清生化异常。红细胞形态过度变异是常见但非特异性的血液学表现。空肠-肠系膜静脉注射造影剂是诊断门体分流的首选门静脉造影方法。2只猫通过部分手术封堵分流血管获得成功治疗。