A 9-year-old MN DSH presented for anorexia, dramatic weight loss, and occasional vomiting. Physical examination revealed mild dehydration and poor body condition. Laboratory evaluation noted moderate hyperglycemia, ketonuria, hyperbilirubinemia, and moderately elevated ALT.
A 9-year-old MN DSH presented for anorexia, dramatic weight loss, and occasional vomiting. Physical examination revealed mild dehydration and poor body condition. Laboratory evaluation noted moderate hyperglycemia, ketonuria, hyperbilirubinemia, and moderately elevated ALT.
Case Study
03-00004 Pumpkin B Hepatic lipidosis RESEARCH ONLY
Sonographic Differential Diagnosis
Infiltrative disease, such as hepatic lipidosis and neoplasia, and, most notably, lymphosarcoma. A chronic inflammatory hepatopathy is considered less likely.
Image Interpretation
Longitudinal view of the midliver, gallbladder (left), and falciform fat (top) reveals that the liver is enlarged and demonstrates a diffuse, moderately echogenic distally attenuating parenchyma. The hepatic echotexture is normally smooth and homogeneous. The gallbladder is within normal limits.
DX
Hepatic lipidosis
Outcome
Concurrent pancreatic evaluation showed evidence of acute pancreatitis. The patient responded to medical therapy for hepatic lipidosis.
Clinical Differential Diagnosis
Pancreatitis, diabetes, hepatic lipidosis, neoplasia, hepatitis.
Sampling
US-guided FNA revealed marked hepatic lipidosis.
Patient Information
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Clinical Signs
- Anorexia
- Vomiting
- Weight loss
Exam Finding
- Dehydration
- Weight loss
Images
Blood Chemistry
- ALT (SGPT), High
- Glucose, High
- Total Bilirubin, High
Clinical Signs
- Anorexia
- Vomiting
- Weight loss
Urinalysi
- Ketones Present