This 6 year old Collie presented with vomiting, diarrhea, urinary incontinence, anorexia, drooling.
CBC/Chem: leukocytosis, neutrophilia, ALT 579, T bili 1.31, BUN 58, Crea 1.7
This 6 year old Collie presented with vomiting, diarrhea, urinary incontinence, anorexia, drooling.
CBC/Chem: leukocytosis, neutrophilia, ALT 579, T bili 1.31, BUN 58, Crea 1.7
Gallbladder in this patient was severely dilated with reactive surrounding fat and striating bile, yet somewhat collapsed. This is consistent with ruptured gallbladder mucocele and bile peritonitis. Common bile duct revealed echogenic debris, yet was obscured by the inflammation and peritonitis. Reactive mesentery was noted throughout the cranial abdomen encompassing portions of the pancreas, yet the pancreas was not the primary issue. Free fluid was noted throughout the caudal abdomen.
Ill-defined hepatic parenchyma around the gallbladder. Recommend plasma transfusion and immediate cholecystectomy and expect abdominal lavage. Common bile duct lavage is warranted as well. Very guarded prognosis.
The patient was humanely euthanized
