Pericardial effusion and abdominal passive congestion in a 13 year old FS mixed breed dog

Case Study

Pericardial effusion and abdominal passive congestion in a 13 year old FS mixed breed dog

A 13-year-old SF mixed breed dog was presented for evaluation of ascites and a possible metastatic thoracic lesion on survey radiographs. The only abnormality on urinalysis was proteinuria. Blood work showed mildly elevated ALP activity.

A 13-year-old SF mixed breed dog was presented for evaluation of ascites and a possible metastatic thoracic lesion on survey radiographs. The only abnormality on urinalysis was proteinuria. Blood work showed mildly elevated ALP activity.

DX

Pericardial effusion with ascites due to passive congestion

Sonographic Differential Diagnosis

Passive congestion pattern in abdomen. Moderate to severe amount of ascites with hyperechoic artifact of the mesentery. No overt evidence of abdominal neoplasia noted. Pericardial effusion. No right auricular mass was noted.

Image Interpretation

The abdomen in this patient presented severe passive congestion pattern with a dilated vena cava, dilated hepatic veins and swollen liver with mildly coarse architecture. A moderate to severe amount of ascites was noted with hyperechoic artifact of the mesentery. Cardiac ultrasound revealed pericardial effusion. There was no obvious right auricular mass.

Outcome

None

Comments

Palliative pericardiocentesis should be considered.

Clinical Differential Diagnosis

Abdominal neoplasia – liver, spleen, kidney, mesentery, mesothelioma. Thoracic mass – neoplasia, granuloma, foreign body.

Sampling

None

Patient Information

Patient Name : Blondie S
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 10_00059

Clinical Signs

  • Ascites

Images

img_7306blondie_singer_passive_congestion_liverblondie_singer_passive_congestion_liver_2blondie_singer_passive_congestion_spleenvlcsnap-2014-05-04-14h47m12s134

Blood Chemistry

  • Alkaline Phosphatase (SAP), High

Clinical Signs

  • Ascites

Urinalysi

  • Protein Present
Skip to content