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Highly vascular Gallbladder mass in a 10 year old MN Bichon Frise

Case Study

Case Study

Highly vascular Gallbladder mass in a 10 year old MN Bichon Frise

A 10 year old MN Bichon Frise dog was presented for routine dental cleaning. Pre-operative showed ALT = 210 and ALKP = 146. On brief scan = sludge in GB. Dental cleaning performed and patient sent home on Denamarin and ursodiol. Owner stopped both after patient developed diarrhea on medications. Presented a few weeks later with mild petechiation. Increases in liver values on labs. Labs: 4dx = negative. CBC: PLT = 64k. Chem: ALT = 598, ALKP = 336, GGT = 16, T Bili = 0.3 

A 10 year old MN Bichon Frise dog was presented for routine dental cleaning. Pre-operative showed ALT = 210 and ALKP = 146. On brief scan = sludge in GB. Dental cleaning performed and patient sent home on Denamarin and ursodiol. Owner stopped both after patient developed diarrhea on medications. Presented a few weeks later with mild petechiation. Increases in liver values on labs. Labs: 4dx = negative. CBC: PLT = 64k. Chem: ALT = 598, ALKP = 336, GGT = 16, T Bili = 0.3 

Image Interpretation

The gallbladder in this patient was over distended with a 1.5 x 2.0 cm vascular mass that was deriving from the gallbladder wall. The center and base of the mass revealed a 3 mm vessel with significant vascularity throughout the mass. This appears to be isolated. 

DX

Highly vascular gallbladder mass. This appears isolated. Suspect carcinoma or other neoplasia.

Outcome

Three view chest radiographs and immediate cholecystectomy and common bile duct lavage would be warranted

Video

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Patient Information

Patient Name : Bogart Ludwig
Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound
Code : 03_00562

Clinical Signs

  • Diarrhea
  • Skin Lesion

History

  • Elevated ALT
  • Elevated Liver Enzymes

Exam Finding

  • Petechiae

Images

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Blood Chemistry

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

CBC

  • Platelet Count, High

Clinical Signs

  • Diarrhea
  • Skin Lesion

Special Testing

  • 4Dx Negative