Dilated intrahepatic bile ducts, chronic vomiting, normal liver values in a senior cat.
– 13 yo M/N Siamese, intermittent chronic vomiting (food and hair) in the last few months. 1# weight loss in a year.
– Normal bloodwork!
– Intrahepatic bile ducts seem dilated (2-3mm), but the GB is normal, the distal CBD and duodenal papilla are WNL.
– The duodenum has normal layers but measured thickened (3.2-3.6mm). Normal jejunum/IC junction.
Dilated intrahepatic bile ducts, chronic vomiting, normal liver values in a senior cat.
– 13 yo M/N Siamese, intermittent chronic vomiting (food and hair) in the last few months. 1# weight loss in a year.
– Normal bloodwork!
– Intrahepatic bile ducts seem dilated (2-3mm), but the GB is normal, the distal CBD and duodenal papilla are WNL.
– The duodenum has normal layers but measured thickened (3.2-3.6mm). Normal jejunum/IC junction.
– Gastric lymph node was there (3.6mm), I normally don’t see it unless there is inflammation.
– One hyperechoic focus (3mm) in muscularis of the stomach, maybe ulcer but could be artifact/gas (not fully NPO).
– Is it just age changes/previous hepatic insult causing the dilated bile ducts or can we have cholangitis with normal liver values?
Thank you!
Julie
2 responses to “Dilated Intrahepatic bile ducts, normal liver values in a senior cat”
As the gall bladder is not
As the gall bladder is not distened and no obvious obstruction dilated bile duct an age-related change. With the history, thickened duodenum, and lymph node would think of inflammatory bowel disease.
Thank you, Dr. Lobetti!
Thank you, Dr. Lobetti!