Cirrhosis and Bleeding Esophageal Varices: Historic Perspectives

Sterpetti, Antonio V.; Kappes, Steven

doi:10.1007/s11605-020-04674-8

Cited by 2 publications

(2 citation statements)

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“…Dilated esophageal vessels are seen in esophageal varices secondary to portal hypertension, a condition more commonly reported in human medicine 14,15 . In people, these dilated esophageal vessels are typically associated with portal hypertension secondary to alcohol‐induced liver cirrhosis, and in both people and dogs, are generally highly tortuous in appearance 16,17 . In this patient there was no indication that the abnormal shunting vessel was an esophageal varix secondary to portal hypertension, making a congenital etiology more likely.…”

Section: Discussionmentioning

confidence: 70%

“…14,15 In people, these dilated esophageal vessels are typically associated with portal hypertension secondary to alcoholinduced liver cirrhosis, and in both people and dogs, are generally highly tortuous in appearance. 16,17 In this patient there was no indication that the abnormal shunting vessel was an esophageal varix secondary to portal hypertension, making a congenital etiology more likely. This was supported by the surgical, histopathology, imaging, urolith analysis, and postoperative biochemical findings.…”

Section: Discussionmentioning

confidence: 78%

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Intramural esophageal location of a portosystemic shunt in a dog with two congenital portosystemic shunts on CT angiography

MacEwan¹,

Thompson²

2023

Vet Radiology Ultrasound

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A 5-year-old male neutered pug with hematuria was presented to a referral hospital after identification of an extrahepatic portosystemic shunt (EHPSS) during abdominal ultrasonography. Computed tomographic-angiography revealed two anomalous blood vessels (left gastroazygous and left gastrophrenic). The left gastroazygous vessel followed an atypical path within the dorsolateral esophageal wall before entering the azygous vein. The morphology of this highly unusual vessel has not, based on the authors' review of the literature, been previously reported. In combination with a second anomalous vessel, this resulted in a unique presentation of an EHPSS. Computed tomography-angiography was essential for diagnosis and surgical planning in this case.

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Section: Discussionmentioning

confidence: 70%