16 year old FS DSH, owner concerned she is uncomfortable because her posture is more hunched, mild increase in renal values and SDMA with more marked anemia of 25%. Liver values WNL. Anorexia that improved with some outpatient supportive care. History of hyperthyroidism, controled.
I had a difficult time making out the gall bladder in this patient. The common bile duct was thickened, measuring 6 mm. No choleliths seen and no mass at the duodenal papilla. Tracing the CBD retrograde, gall bladder appears to be homogenous with the rest of the parenchyma. Thoughts?
Comments
Looks like GB aplasia likely
Looks like GB aplasia likely normal variant.
Thanks, Eric. So typically
Thanks, Eric. So typically born without the gall bladder or does it atrophy over time?
usually born without unless
usually born without unless prior removal or perforation and walled off but would see fibrosis in the region if that were the case
Great! Sorry for yet another
Great! Sorry for yet another question – is it typical to see the common bile duct look distended as in this cat? Assuming not a problem?
cbd normal is up to 4 mm and
cbd normal is up to 4 mm and sometimes up to 5 mm the older they get… older cats = bigger tubes