Inflamed gallbladder mucocele and cystic duct in a 16 year old FS DSH cat

Case Study

Inflamed gallbladder mucocele and cystic duct in a 16 year old FS DSH cat

This 16 year old FS DSH cat presented with sudden onset anorexia and ADR 3 days prior. 4/9 BCS, 5-7% dehydrated. Blood glucose mildly elevated, mild increase GGT, mildy increased globulin . PCV 34%, TP 9.9. USPG 1.022

This 16 year old FS DSH cat presented with sudden onset anorexia and ADR 3 days prior. 4/9 BCS, 5-7% dehydrated. Blood glucose mildly elevated, mild increase GGT, mildy increased globulin . PCV 34%, TP 9.9. USPG 1.022

DX

inflamed gallbladder mucocele, IBD pattern, pancreatic inflammation, age- related renal changes

Image Interpretation

The liver revealed slightly increased portal markings. The gallbladder in this patient revealed over distension and measured 2.0 cm. Regional inflammation was noted as well as striating bile. This is consistent with inflamed mucocele. The inflammatory pattern along the gallbladder continued into the cystic duct, which was over distended with suspended debris and regional inflammation.  Non-obstructive, polypoid changes were also noted within the gallbladder and measured approximately 1.0 cm. 

The pancreas was enlarged, hypoechoic and irregular. There were mild areas of regional inflammation. 

Outcome

Cholecystectomy with common bile duct lavage is recommended

Patient Information

Patient Name : Koko Winburn/ Intrapet
Gender : Female, Spayed
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 03_00567

Clinical Signs

  • "Not Doing Right"
  • Anorexia

Exam Finding

  • Dehydration
  • Underweight

Images

r3r9r5

Blood Chemistry

  • GGT High
  • Globulin, High
  • Glucose, High

CBC

  • Hematocrit, Low

Clinical Signs

  • "Not Doing Right"
  • Anorexia
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