Reply To: High Bile Acids

Hi all – this was the comment from the referral centre regarding the high bile acids in this patient –

‘In addition, an increase in the bile acids was identified on Lulu’s previous blood tests. The present clinical signs are unlikely to be related with the raised bile acids and therefore are considered an incidental finding. The most likely cause of this increase is a portal vein hypoplasia. This condition is a congenital condition that affects the microvasculature of the liver. The majority of the patients suffering from this condition do not present any clinical signs and the only changes are increases in bile acids. After discussing the different causes of increased bile acids with Lulu’s owner, no further investigations were undertaken at this stage and further investigations will only be recommended if further deterioration occurs.’