Although this may not be a big surprise I can’t find any published accounts specifically documenting this phenomenon. The first case involves a 5 year-old MN Shih-tsu presented on account of haematuria.  There was no history of preceding signs suggesting hepatic encephalopathy.  No urinary abnormalities were identified on abdominal ultrasound.  However, an extra-hepatic shunt vessel … Continue reading Normal bile acid stimulation test results in two dogs with (presumed congenital) extra-hepatic portosystemic shunts