03_00453 Jabba W Hepatic lipidosis and cholestasis

Case Study

03_00453 Jabba W Hepatic lipidosis and cholestasis

A 12-year-old NM cat was presented for evaluation of elevated bilirubin (1.11) and ALP (282) and ALT (186) activity.

A 12-year-old NM cat was presented for evaluation of elevated bilirubin (1.11) and ALP (282) and ALT (186) activity.

 

Sonographic Differential Diagnosis

Suspect hepatic lipidosis with low-grade inflammatory hepatopathy. Possible underlying lymphoma less likely. Primary treatment for lipidosis is recommended in the meantime until cytology results can be assessed.

Image Interpretation

The liver was diffusely hyperechoic compared to the falciform fat. Vascular and biliary tracts were of normal volume and no evidence of congestion was noted. The gallbladder was slightly dilated. This may be owing to anorexia. The cystic duct and common bile duct were slightly tortuous. However, technically the common bile duct was normal in width at the level of the duodenal papilla. The common bile duct measured 0.28 cm. No pathological hepatic lymphadenopathy was evident. No overt structural evidence of inflammatory, infiltrative or regenerative pathology was noted. FNA of the liver were performed without complication.

DX

Cytology revealed moderate-marked hepatic lipidosis, cholestasis.

Outcome

None

Clinical Differential Diagnosis

Liver – lipidosis, cholangio-hepatitis, neoplasia, abscessation, granulomatous disease
Gall bladder – obstruction (lith, neoplasia, duodenal/pancreatic disease), cholecystitis
Hemolysis – Mycoplasmosis, IMHA, toxins

Sampling

Cytology revealed moderate-marked hepatic lipidosis, cholestasis.

Patient Information

Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete

Images

jabba_wasp_hepatic_lipidosis_cat

Blood Chemistry

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