This 10 year old MN Labrador dog presented with distended abdomen, decreased energy level and decreased appetite.
This 10 year old MN Labrador dog presented with distended abdomen, decreased energy level and decreased appetite.
Case Study
End stage Liver disease with Cirrhosis pattern and Portal Hypertension in 10 year old MN Labrador
Image Interpretation
The liver in this patient presented diffuse, coalescing nodular changes with capsular retraction and secondary ascites. Enhanced mesentery was noted. This is most consistent with hepatic cirrhosis and secondary portal hypertension.
DX
End stage liver disease with cirrhosis pattern and portal hypertension
Outcome
Given the diffuse nature of the pathological process throughout the liver, this is most consistent with end stage cirrhosis and secondary portal hypertension and ascites. Palliative care may be somewhat effective in the short term with abdominocentesis and nutraceuticals. Regardless of the underlying histopathology thediffuse nature of the disease will not allow for significant response to therapy. The prognosis is poor.
Sampling
Core liver biopsy could be considered. However, regardless of the underlying histopathology, the
diffuse nature of the disease will not allow for significant response to therapy.
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Patient Information
Patient Name :
Gunnar Simonds
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Code :
03_00560
Clinical Signs
- Abdominal Distension
- Anorexia
- Lethargy
Exam Finding
- Abdominal Distension
- Ascites
- Heart Murmur
Images
Clinical Signs
- Abdominal Distension
- Anorexia
- Lethargy