We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.
The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ...
Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.
Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.
Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.
Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.
Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.
this is a 15 years oild icteric cat that was diagnosed with chronic pancreatitis, cholangiohepatitis .despite intensive in clinic treatment for 1 week there is no improvment on liver values/ clinical . The CBD measures 1.55 cm ( was 1.2 cm 10 days ago )
I m wondering if there is actually a mass at the level of DPAP ? I shouldn’t have any collor flow inside CBD unless overlaping or mass, right ?
Thank you.
Comments
Mineralizing cbd mass suspect
Mineralizing cbd mass suspect carcinoma wiht post hepatic obstruction. Chronic inflammatory polyp possible but less likely. If no mets then needs cholecystoduodenostomy but liver mets on these lesions can be very isoechoic so use hi frequency provbe screening the liver.
Thank you EL. Unfortunately
Thank you EL. Unfortunately cat didn t make it. Lots if mild hyperechoic nodules on the liver as you suggested. Radiologist considered them reg nodules??? histo pending.
Cats don’t get regenerative
Cats don’t get regenerative nodules typically until really old so its possible I guess. Dogs get them very frequently. Over the years I have considered any nodule in a cat liver suspect of pathology until they get really old then they can do what they want:) This approach has panned out pretty acurate over the years… cat nodules need needles if slightly hyperechoic isoechoic or hypoechoic… The very hyperechcoic nodules are usually fatty nodules but again mainly in older cats. With a cbd mass and nodules the nodules are mets til proven otherwise and a needle proves them one way or another. But If I saw nodules in this cat with that cbd mass I would have done multiple fnas right there with cyto by the next day and then surgery if the cyto came up benign. Then inspected and sampled liver anyway at surgery. This doesnt waste anyone’s time or money and certainly does the right thing for the suffering cat.
Good to know. I ll implement
Good to know. I ll implement your strategy as makes a lot of sense. Thank you
Turned out pancreatic
Turned out pancreatic exocrine carcinoma with metastasis in liver
Yep makes sense. Thanks for
Yep makes sense. Thanks for the follow-up