J. Demarco et al., A SYNDROME RESEMBLING IDIOPATHIC NONCIRRHOTIC PORTAL-HYPERTENSION IN 4 YOUNG DOBERMAN-PINSCHERS, Journal of veterinary internal medicine, 12(3), 1998, pp. 147-156
We describe 4 young male Doberman Pinschers (3 littermates and 1 unrel
ated dog) with a syndrome resembling idiopathic or noncirrhotic portal
hypertension of humans. Each dog was evaluated for a hepatopathy resu
lting in portal hypertension, development of portosystemic collateral
vessels, and hepatic encephalopathy. These dogs differ from previous r
eports of young dogs with hepatic insufficiency associated with portal
hypertension and acquired portal systemic shunting by their lack of i
ntrahepatic arteriovenous fistulae, portal vein atresia, or intrahepat
ic fibrosis. Clinicopathologic features included erythrocyte microcyto
sis, normal to mildly increased liver enzyme activities, increased con
centrations of serum bile acids, reduced plasma indocyanine green clea
rance, and normal total bilirubin concentration. Abdominal ultrasonogr
aphy disclosed a small liver and portosystemic collateral vessels. Rad
iographic imaging studies confirmed hepatofugal portal circulation and
discounted hepatic arteriovenous fistulae. Histopathologic features i
n liver tissue from each dog were similar and consistent in all sectio
ns examined. Common findings included increased cross-sectional views
of hepatic arterioles; hepatic lobular atrophy; scanty increase in con
nective tissue around some large portal triads; and absence of inflamm
ation, disturbed lobular architecture, bile duct proliferation, or int
rahepatic cholestasis.