A 12-year-old FS Beagle dog with a history of gallbladder sludge seen on previous ultrasound was presented for vomiting for three days and stranguria. Physical examination was unremarkable. CBC showed mild leukocytosis, neutrophilia, and low MCV. On blood chemistry elevated ALP activity and hypercholesterolemia were documented.
A 12-year-old FS Beagle dog with a history of gallbladder sludge seen on previous ultrasound was presented for vomiting for three days and stranguria. Physical examination was unremarkable. CBC showed mild leukocytosis, neutrophilia, and low MCV. On blood chemistry elevated ALP activity and hypercholesterolemia were documented.
Case Study
Gall bladder mucocele and cholecystitis in a 12 year old FS Beagle dog
Sonographic Differential Diagnosis
Gall bladder mucocele, chronic cholecystitis.
Image Interpretation
The gall bladder is moderately distended, turgid, filled with immobile inspissated bile with echogenic wall suggestive for mucocele formation and chronic cholecystitis. No evidence of perforation is present at this time.
DX
Mucocele and perforation
Outcome
The patient recovered uneventfully.
Clinical Differential Diagnosis
Liver pathology: bile duct obstruction, cholecystitis, choleliths, gall bladder rupture, cholangiohepatitis, neoplasia. GI pathology: IBD, neoplasia, acute gastroenteritis; Pancreatic pathology: pancreatitis; Bladder pathology – cystitis, neoplasia, uroliths
Sampling
Surgical aspects consistent with mucocele and focal perforation, non expressible at surgery. Cholecystectomy was performed.
Video
Patient Information
Patient Name :
Bisquit C
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
03_00129
Clinical Signs
- Stranguria
- Vomiting
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- Cholesterol, High
CBC
- MCV, High
- Neutrophils, High
- WBC, High
Clinical Signs
- Stranguria
- Vomiting