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CT angiogram showing an extra-hepatic portosystemic shunt (portophrenic) associated with a reduction in liver size. CT angiogram showing an extra-hepatic portosystemic shunt (portophrenic) associated with a reduction in liver size. The aorta (arrowhead in [a]), caudal vena cava (closed arrow in [a]), hepatic vein (which is reduced in size, open arrow in [a]) and abnormal shunting vessel (double arrow in [a]) are evident. In (b) the liver is reduced in size (arrowed). Portosystemic shunts represent the most important metabolic cause of reactive epilepsy in juvenile dogs Jacques Penderis In Practice 2014;36:3-9 Copyright © British Veterinary Association. All rights reserved.
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