ULTRASONOGRAPHIC EXAMINATION OF THE CANINE LIVER BASED ON RECOGNITION OF HEPATIC AND PORTAL VEINS

Abstract

A method for systematic examination of the livers was developed, based on identification of the hepatic and portal veins in sixteen dogs. The right medial, quadrate, left medial and lateral hepatic veins and the hepatic branches of the portal veins were easily located with the dog in dorsal recumbency. The right lateral and caudate hepatic veins were identified more easily from the right side with the transducer positioned between the ninth to the eleventh intercostal spaces. Visibility was affected by the fullness of the stomach but this effect could be minimized by changing the position of the transducer to select a more suitable anatomical approach. Identification of the two systems depended on their echogenicity, the anatomical position of the main branches and their pattern of distribution. As in humans, the portal veins were in general, more echogenic than the hepatic veins and the hepatic veins could be traced from their junctions with the caudal vena cava. Identification of the branches of the hepatic and portal veins was complicated by the anatomical shape, the nutritional status and respiratory stage of the animal. A systemic approach based on a knowledge of the distribution patterns produced by the hepatic and portal veins ensures that all liver lobes are identified and all important structures are assessed.