- 15 year old Terrier with lethargy, inappetance, vomiting and diarrhoea
- Is this a liver abscess? Can you rule out underlying neoplasia? The gallbladder had a thickened wall.
- Pancreatitis and muscularis hypertrophy was also present along with steatitis and minimal free fluid but the liver seemed to be the primary problem.
- FNA for cytology/culture declined which was disappointing so just hoping to learn for future cases.
- Do these respond to medical treatment?
- 15 year old Terrier with lethargy, inappetance, vomiting and diarrhoea
- Is this a liver abscess? Can you rule out underlying neoplasia? The gallbladder had a thickened wall.
- Pancreatitis and muscularis hypertrophy was also present along with steatitis and minimal free fluid but the liver seemed to be the primary problem.
- FNA for cytology/culture declined which was disappointing so just hoping to learn for future cases.
- Do these respond to medical treatment?
Comments
Sorry for the delay been
Sorry for the delay been under the gun here at ACVIM. Looks very asbscess-like but asbcessing carcinomas can do this as well but they do respond if not carconoma underneath and you can infiltrate directly with baytril after sampling as long as hospitalized and pushing fluids. IV Abs here or Baytril Clindamycin is what I like. Ideally fna for cells and do fna drawing back with saline in the syringe for culture, aerobe and anaerobic culture.
With the presenting signs
With the presenting signs woud lean more towards abscess. Any blood work as would expected inflammatory response on hematology and severely elevated ALT actovity with an abscess.