An 11-year-old male Pug was presented for evaluation of acute vomiting and shaking. Abnormalities on CBC and serum biochemistry were neutrophilia, elevated cholesterol (450) and bilirubin (4.3), and severely elevated ALT (> 1000), ALP (> 993) and GGT activity (25).
Inflamed gallbladder mucocele with localized free fluid, likely owing to inflammation or potential emerging perforation. Cholangiohepatitis liver pattern. Immediate cholecystectomy, common bile duct lavage, and liver biopsy would be recommended along with immediate plasma transfusion.
Gastric stasis was noted. Vitamin K supplementation and coagulation panel would be indicated. Given the gastric stasis, Vitamin K metabolism may be altered owing to disrupted gastrointestinal flora.
Increased portal markings, regional inflammation and localized free fluid were noted. The gallbladder in this patient presented suspended, striating bile, which is consistent with gallbladder mucocele. Regional inflammation was noted. The common bile duct should be flushed at the time of surgery.
The stomach was filled with fluid. This is consistent with stasis. The pylorus was structurally unremarkable other than minor hypertrophy.
None
Liver – acute hepatitis (viral, bacterial, toxins), neoplasia, abscessation, trauma
Gall bladder – cholecystitis, mucocele, neoplasia, obstruction (lith, duodenal/pancreatitic disease)
Pancreas – pancreatitis, neoplasia
Peritonitis
None
