Successful management of portal vein thrombosis in a Yorkshire Terrier with protein-losing enteropathy

22 de fevereiro de 2021

Tratamento bem-sucedido da trombose da veia porta em um Yorkshire Terrier com enteropatia perdedora de proteína

Autores

Yumi SakamotoKumiko IshigakiChieko IshikawaTomohiro NakayamaKazushi AsanoManabu Sakai

Abstract

Background: Portal vein thrombosis (PVT) is a rare presentation in dogs with protein-losing  enteropathy (PLE). Rivaroxaban, an oral, selective, direct factor Xa inhibitor, has not been reported to be administrated for canine PVT and the effect is unclear in dogs with PLE.

Case presentation: An 11-year-old Yorkshire Terrier presented with moderate ascites. The dog had severe hypoalbuminemia (1.2 g/dL), and a portal vein thrombus was confirmed on computed tomographic angiography (CTA). On endoscopic examination, it became apparent that the  hypoalbuminemia was caused by PLE, which was consequent of lymphatic dilation and lymphoplasmacytic enteritis. Therefore, the dog was initially treated with oral administrations of spironolactone and clopidogrel, with dietary fat restriction. However, a follow-up CTA showed no changes in the ascites, thrombus, and portal vein to aorta (PV/Ao) ratio. Therefore, the dog was additionally prescribed rivaroxaban and low-dose prednisolone for the portal vein thrombus and hypoalbuminemia due to lymphoplasmacytic enteritis, respectively. Following the treatment, the PV/Ao ratio decreased because of a decrease in the thrombus and the ascites disappeared completely with an elevation of albumin concentration (1.9 g/dL).

Conclusions: This case report demonstrated that oral administration of rivaroxaban combined with low-dose glucocorticoid was effective management for PVT in a dog with PLE.

Keywords

canine; computed tomography; portal hypertension; rivaroxaban.

Palavras-chave

canino; tomografia computadorizada; hipertensão portal; rivaroxaban.

 

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