This was a referral for ultrasound that presented nearly moribund. From records sent along this 7 yr old maltese mix had 4 month history of hypoalbumin. on the visit to the rdvm that day found elevated ggt, alt, alk phos. The liver is subjectively quite small. intrahepatic duct choleliths seen. the common bile duct dilated. stomach wall thickeened hyperechoic, anehoic effusion in abdomen. I really couldn’t find anything that looked like gall bladder ,I followed the cbd back to that image I am calling GB. My question is how would you describe this in a report?
This was a referral for ultrasound that presented nearly moribund. From records sent along this 7 yr old maltese mix had 4 month history of hypoalbumin. on the visit to the rdvm that day found elevated ggt, alt, alk phos. The liver is subjectively quite small. intrahepatic duct choleliths seen. the common bile duct dilated. stomach wall thickeened hyperechoic, anehoic effusion in abdomen. I really couldn’t find anything that looked like gall bladder ,I followed the cbd back to that image I am calling GB. My question is how would you describe this in a report? Just struck me as interesting and complicated. The little guy is apprently still alive .
Comments
Gb overdistention with
Gb overdistention with progressively shadowing sediment and sludge, Cystic and common bile duct embedded with calculi. No overt regional inflammation and only partial obstruction wiht borderline surgical bile duct at distention of 0.4 cm.
These are usually sequelae from cholangitis sludge and then stones. Needs sx to lavage the cbd and likely remove the gb. I have seen a couple of dogs clear completely form this presentation wiht tx of cholangitits (baytril/metro) and actigal over 8 weeks and others dont do anything. Sx would be the best option here.
Thanks, I will check in with
Thanks, I will check in with them see how pup is doing. I couldn’t find words I liked to be descriptive of the sludging effect here . You sound better !