Dilated Intrahepatic bile ducts, normal liver values in a senior cat


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”

  1. 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. 

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