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Passive congestion liver pattern with secondary ascites in a 5 year old M squirrel

Case Study

Passive congestion liver pattern with secondary ascites in a 5 year old M squirrel

This 5 year old M squirrel has sever cardiomegaly; ascites 120cc drained 1 week ago. anorexic. 

CBC/Chem: WBC decr, BUN 75, HCT 44%, K+ 8.8, ALKP 159

This 5 year old M squirrel has sever cardiomegaly; ascites 120cc drained 1 week ago. anorexic. 

CBC/Chem: WBC decr, BUN 75, HCT 44%, K+ 8.8, ALKP 159

DX

Passive congestion liver pattern with secondary ascites. Right sided heart failure is suspected.

Image Interpretation

The liver was uniformly enlarged with coarse architecture. Nodular hepatic changes were noted. . Hepatic vein dilation was noted. This is consistent with passive congestion. The gallbladder was mildly thickened with irregular contour, yet was collapsed.  A severe amount of ascites was noted in this patient. A large amount of coalesced abdominal fat was noted in this patient.

Outcome

Chronic degenerative, hepatic and renal changes.

Patient Information

Patient Name : Nigel Holmes
Gender : Male, Intact
Species : Exotic
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 03_00559

Exam Finding

  • Ascites

Images

nig2_1nij1_1nij3_1

Blood Chemistry

  • Alkaline Phosphatase (SAP), High
  • BUN high

CBC

  • WBC, Low