Clinical Case Challenge September 2011: Answers

Clinical Case Challenge September 2011

  • Answer 1: A 4cm long echogenic lesion most consistent with a thrombus is visualized within the portal vein.
  • Answer 2: pancreatitis, acute enteritis, septic peritonitis, gastrointestinal foreign body, portal vein thrombosis
  • Diagnosis: Portal Vein Thrombosis

    Treatment for shock was initiated using 90ml/kg LRS IV. Tachycardia persisted despite the initial bolus, and a recheck lactate was 5.4 mmol/L. Following administration of 20ml/kg Voluven and an additional 45ml/kg LRS IV, the heart rate stabilized and lactate concentration normalized. The dog was hospitalized for ongoing support, and heparin was initiated (Fragmin 150u SQ BID). The dog was discharged 2 days later with instructions related to initiating a tapering dose of prednisone.