An 8-year-old NM Sheltie dog with a history of elevated liver enzyme activity and previous cholecystectomy was presented for evaluation. Abnormalities on serum biochemistry were elevated liver enzyme activity.
An 8-year-old NM Sheltie dog with a history of elevated liver enzyme activity and previous cholecystectomy was presented for evaluation. Abnormalities on serum biochemistry were elevated liver enzyme activity.
Case Study
03_00280 Teddy S Cholecystitis of gallbladder remnant BK
Sonographic Differential Diagnosis
Post surgical dilation of the residual cystic duct. Secondary local inflammation. The changes reveal post surgical dilation of the residual cystic duct and secondary local cholecystitis. The patient should be treated with Baytril, Metronidazole and Actigall.
Image Interpretation
The liver was of normal echogenicity and was hypoechoic to the spleen and isoechoic to the kidneys. A gallbladder was not visualized due to the cholecystectomy. The residual cystic duct appeared dilated and the adjacent hyperechoic tissue was likely secondary to surgery.
DX
Samples of the gallbladder remnant reveal chronic active fibrosing cholecystitis and mild chronic lymphoplasmacytic cholangiohepatitis.
Outcome
The patient was asymptomatic 2 weeks post surgery. Two months later a gallbladder mucocele was noted.
Comments
No video is available on this patient.
Clinical Differential Diagnosis
Gall bladder (remnant) – cholecystitis, neoplasia Focal peritonitis at gall bladder surgery site Liver – vacuolar hepatopathy, nodular regeneration, neoplasia, drug-induced, toxin, bacterial hepatitis, ascending cholangiohepatitis
Sampling
Samples of the gallbladder remnant reveal chronic, active, fibrosing cholecystitis and mild chronic lymphoplasmacytic cholangiohepatitis.
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Images
Blood Chemistry
- Elevated Liver Enzymes