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US and CYT – Mild supportive hepatitis and gastric ileus in a 10 year old intact F Chihuahua dog with elevated liver enzymes

Case Study

US and CYT – Mild supportive hepatitis and gastric ileus in a 10 year old intact F Chihuahua dog with elevated liver enzymes

This 10 year old F Chihuahua dog has ALT and ALKP elevation, mild bilirubin elvation, and is anemic.

This 10 year old F Chihuahua dog has ALT and ALKP elevation, mild bilirubin elvation, and is anemic.

Sonographic Differential Diagnosis

Acute inflammatory hepatopathy.
Gastric stasis, likely owing to ileum
The cause of anemia is unclear in this patient.

Image Interpretation

The ovaries were uniform and measured 1.04 cm on the left. The uterus measured 0.75
cm. No fluid accumulation was noted. Slight hypertrophy was noted at the cervix. The liver was structurally unremarkable with slightly increased portal markings. The stomach was filled with ingesta

DX

Inflammatory hepatopathy and gastric stasis

Sampling

FNA/cytology of the liver – Hepatocellular vacuolization and granularity with mild suppurative hepatitis

Patient Information

Patient Name : Reba Begraft/ACFlanders
Gender : Female, Intact
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes

Images

screen_shot_2016-04-30_at_1screen_shot_2016-04-30_at_1screen_shot_2016-04-30_at_1

Blood Chemistry

  • Alkaline Phosphatase (SAP), High
  • ALT (SGPT), High
  • Total Bilirubin, High

CBC

  • Hematocrit, Low