Case Study

Highly vascular Gallbladder mass in a 10 year old MN Bichon Frise

A 10 year old MN Bichon Frise dog was presented for routine dental cleaning. Pre-operative showed ALT = 210 and ALKP = 146. On brief scan = sludge in GB. Dental cleaning performed and patient sent home on Denamarin and ursodiol. Owner stopped both after patient developed diarrhea on medications. Presented a few weeks later with mild petechiation. Increases in liver values on labs. Labs: 4dx = negative. CBC: PLT = 64k. Chem: ALT = 598, ALKP = 336, GGT = 16, T Bili = 0.3

DX

Highly vascular gallbladder mass. This appears isolated. Suspect carcinoma or other neoplasia.

Image Interpretation

The gallbladder in this patient was over distended with a 1.5 x 2.0 cm vascular mass that was deriving from the gallbladder wall. The center and base of the mass revealed a 3 mm vessel with significant vascularity throughout the mass. This appears to be isolated.