PMID- 33062292
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220417
IS  - 2055-1169 (Electronic)
IS  - 2055-1169 (Linking)
VI  - 6
IP  - 2
DP  - 2020 Jul-Dec
TI  - Peripartum clinical manifestations of a mesentericorenocaval shunt in a Burmese 
      cat.
PG  - 2055116920961369
LID - 10.1177/2055116920961369 [doi]
LID - 2055116920961369
AB  - CASE SUMMARY: A 3-year-old entire female Burmese cat was presented for 
      investigation of intermittent lethargy during gestation followed by persistent 
      hypersalivation and ataxia postpartum. The cat had queened three litters in 
      total, with clinical signs worsening during the most recent lactation period. 
      Mild anaemia (26%), hypoglycaemia (2.4 mmol/l; reference interval [RI] 
      3.9-8.3 mmol/l) and increased postprandial serum bile acids (74 micromol/l; RI 
      <25 micromol/l) were identified on initial bloodwork. Multiphase contrast-enhanced CT 
      identified a mesentericorenocaval portosystemic shunt; this was attenuated 
      surgically with an ameroid constrictor. Clinical signs resolved after surgery. 
      Follow-up 3 months postoperatively revealed normal pre- and postprandial serum 
      bile acids (2 micromol/l and 3 micromol/l, respectively) with repeat CT identifying 
      evidence of shunt attenuation. The cat continued to be healthy and free of 
      clinical signs 12 months postoperatively. RELEVANCE AND NOVEL INFORMATION: 
      Mesentericorenocaval portosystemic shunt morphology has not been previously 
      reported in the cat and should be considered as a differential diagnosis for cats 
      presenting with peripartum onset of malaise, ptyalism or ataxia.
CI  - (c) The Author(s) 2020.
FAU - Hoon, QiCai J
AU  - Hoon QJ
AUID- ORCID: 0000-0002-1636-8622
AD  - University Veterinary Teaching Hospital Sydney, School of Veterinary Science, 
      University of Sydney, Camperdown, NSW, Australia.
FAU - Siow, Jia Wen
AU  - Siow JW
AD  - University Veterinary Teaching Hospital Sydney, School of Veterinary Science, 
      University of Sydney, Camperdown, NSW, Australia.
FAU - Jenkins, Elizabeth
AU  - Jenkins E
AD  - University Veterinary Teaching Hospital Sydney, School of Veterinary Science, 
      University of Sydney, Camperdown, NSW, Australia.
FAU - So, Wilson
AU  - So W
AUID- ORCID: 0000-0003-0935-7818
AD  - University Veterinary Teaching Hospital Sydney, School of Veterinary Science, 
      University of Sydney, Camperdown, NSW, Australia.
FAU - Krockenberger, Mark
AU  - Krockenberger M
AD  - University Veterinary Teaching Hospital Sydney, School of Veterinary Science, 
      University of Sydney, Camperdown, NSW, Australia.
FAU - Makara, Mariano
AU  - Makara M
AD  - University Veterinary Teaching Hospital Sydney, School of Veterinary Science, 
      University of Sydney, Camperdown, NSW, Australia.
FAU - Brunel, Laurencie
AU  - Brunel L
AD  - University Veterinary Teaching Hospital Sydney, School of Veterinary Science, 
      University of Sydney, Camperdown, NSW, Australia.
LA  - eng
PT  - Case Reports
DEP - 20200928
PL  - England
TA  - JFMS Open Rep
JT  - JFMS open reports
JID - 101672978
PMC - PMC7536498
OTO - NOTNLM
OT  - Partum
OT  - portosystemic
OT  - pregnancy
OT  - shunt
COIS- Conflict of interest: The authors declared no potential conflicts of interest 
      with respect to the research, authorship, and/or publication of this article.
EDAT- 2020/10/17 06:00
MHDA- 2020/10/17 06:01
PMCR- 2020/09/28
CRDT- 2020/10/16 05:54
PHST- 2020/10/16 05:54 [entrez]
PHST- 2020/10/17 06:00 [pubmed]
PHST- 2020/10/17 06:01 [medline]
PHST- 2020/09/28 00:00 [pmc-release]
AID - 10.1177_2055116920961369 [pii]
AID - 10.1177/2055116920961369 [doi]
PST - epublish
SO  - JFMS Open Rep. 2020 Sep 28;6(2):2055116920961369. doi: 10.1177/2055116920961369. 
      eCollection 2020 Jul-Dec.