Hi everyone,
I read the veteurope1 post and this is suppose to be a comment and not a post, but this is the only way to upload a video, so here it goes:
«« I also have a very similar case. Female cat, 15yo, history of elevated hepatic enzymes + vomiting. U/S shows cholangiiohepatitis, CBD and pancreatic duct dilatation and a obstrutive mass in the CBD adjacent to the d-pap (doppler negative).
It’s my first one of these so I’m hesitating a little bit regarding the follow-up/treatment.
Hi everyone,
I read the veteurope1 post and this is suppose to be a comment and not a post, but this is the only way to upload a video, so here it goes:
«« I also have a very similar case. Female cat, 15yo, history of elevated hepatic enzymes + vomiting. U/S shows cholangiiohepatitis, CBD and pancreatic duct dilatation and a obstrutive mass in the CBD adjacent to the d-pap (doppler negative).
It’s my first one of these so I’m hesitating a little bit regarding the follow-up/treatment.
What would you do in this situation?
Comments
Nice clip!! This is likley a
Nice clip!! This is likley a cbd tumor but can’t rule out a bile plug so drop some power doppler on ti to see if vascularized. Run the liver parenchyma looking for isoechoic nodules and fna those first to see if mets coming up. If none then needs cholecystoduodenostomy. Could aslo fna that cbd mass with a 25g but the solution is surgical here.
Hi EL, I did drop power
Hi EL, I did drop power doppler but it didn’t light up. Also the liver parenquima was unremarkable. Unfortunately the owner didnt want to pursue the surgical aproachment, so the refering vet prescribed ABs and I haven’t heard anything about the case since the u/s. If there is any significant change I’ll post the outcome here.