5 year old terrier mix I have been following with concern for emergoing mucocele. Included are pre and 1 hour post prandial images which show some contraction in the right intercostal view post prandial. Post prandial videos also show the material looks less inspisated, so wondering if best to just continue monitoring? Had never seen it look so full, though, as the pre prandial images. We have had this pet on ursodiol continuously and have been doing intermittent 2 week trials of enrofloxacin. Owner is very concerned about morbidity with surgery, but is quite diligent in monitoring.
Comments
How symptomatic is the
How symptomatic is the patient and what are the liver enzymes doing? How long has been on ursodiol?
Only occasional vomiting.
Only occasional vomiting. Non-painful abdomen. ALP in 600’s, ALT has been normal. Has been on ursodiol over a year.
Would recommend surgery if
Would recommend surgery if there are associated clinical signs and there is progressive increase in ALP activity, especially with an owner that is worried about the procedure.
Thank you! I’ve been talking
Thank you! I’ve been talking to a surgeon we work with and he had the same input – more complications with surgery the more progressive it is so sooner is probably better than later.
I would call this an emerging
I would call this an emerging mucocele as there is still movement in the bile and minimal striation. A GB motility study will help to see if it is functional or not.
Here is the description if you haven’t seen it in our interventional procedures section:
https://sonopath.com/educationevents/ultrasound-resources/ultrasound-guided-procedures
I would call this an emerging
I would call this an emerging mucocele as there is still movement in the bile and minimal striation. A GB motility study will help to see if it is functional or not.
Here is the description if you haven’t seen it in our interventional procedures section:
https://sonopath.com/educationevents/ultrasound-resources/ultrasound-guided-procedures