Page 1 - RVC Clinical Connections - Summer 2025
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CLINICAL CONNECTIONS
RVC Clinical Services Newsletter Summer 2025
KITTEN’S LIVER SHUNT SURGERY SUCCESS
Grace Thomas (Resident in Small Animal emergency stabilisation in the ICU. Due to his owner was advised to exclusively feed
Surgery) and Lynda Rutherford (Senior his young age and severity of neurological him a low protein feline hypoallergenic diet.
Lecturer in Small Animal Surgery) signs, it was suspected that Milo was
discuss the case of a kitten who had suffering from hepatic encephalopathy Admission for surgery
never known health or vitality until he secondary to portosystemic shunt. Milo returned around a month later, under
was treated at the RVC. Once stabilised, he was transferred to the care of the Soft Tissue Surgery Service.
the Internal Medicine Service for further He had remained stable with medical
ilo was presented to the RVC’s investigation and management. Milo management and as such was considered
Emergency and Critical Care underwent blood work to include bile acid a candidate for surgery.
MService due to acute onset, severe stimulation and ammonia testing, urinalysis The risks of portosystemic shunt
neurological signs in late December, when and abdominal CT. This confirmed an surgery were discussed to include general
he was four months old. On presentation, extrahepatic portosystemic shunt (gastric- anaesthesia, bleeding, failure to fully
he was non-ambulatory, stuporous and in caval). attenuate his shunt and – most importantly
lateral recumbency. Milo required an initial period of medical – post-attenuation neurological syndrome
Milo weighed 1.49 kg, with a body management at home to further stabilise his (PANS). As Milo presented with neurological
condition score of 4/9 and a muscle condition prior to surgery. As such he was signs initially, the risk of him developing
condition score of 2/3. He underwent initial discharged with lactulose oral solution and PANS was much higher.
P. 4 P. 5 P.6 P.8
SUBLUMBAR DEVELOPMENTS IN THE EVOLUTION OF EQUINE HARMONIC
ABSCESS CASE GENERAL PRACTICE OPHTHALMOLOGY SCALPEL BENEFITS
