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Gall bladder wall septations?

Sonopath Forum

Sonopath Forum

Gall bladder wall septations?

Hi everyone!

Just wondering if anyone has seen a gallbladder like this?

A 14 y.o fox terrierX with lethargy and inappetance. Blood work showed high liver enzymes; ALT 748 IU/L, ALP 7962 IU/L, AST 158 IU/L and GGT of 31 IU/L. The abdominal ultrasound interpretation: peritonitis vs primary peritoneal carcinomatosis(severely hyperehcoic fat with free fluid) and abnormal liver parenchyma(irregular margins, loss of architecture and coarsed echotexture).

Hi everyone!

Just wondering if anyone has seen a gallbladder like this?

A 14 y.o fox terrierX with lethargy and inappetance. Blood work showed high liver enzymes; ALT 748 IU/L, ALP 7962 IU/L, AST 158 IU/L and GGT of 31 IU/L. The abdominal ultrasound interpretation: peritonitis vs primary peritoneal carcinomatosis(severely hyperehcoic fat with free fluid) and abnormal liver parenchyma(irregular margins, loss of architecture and coarsed echotexture).

I believe the gall bladder was an incidental finding and was wondering if it could be a congenital multiseptated gall bladder?

Comments

EL
August 19, 2017 at 4:31 pm -

Yuck looks like thats a wall

Yuck looks like thats a wall rupture see the local free fluid and inflammatory pattern next to it?

Needs sx asap. Please upload sx photos if you can.

lookpris
August 20, 2017 at 11:18 pm -

Hi Eric!
Thanks for the

Hi Eric!

Thanks for the reply. It is interesting you mentioned gall bladder rupture as i was wondering if a ruptured gall bladder can look like that?  That being said, the inflammed fat and free fluid was diffused throughout the abdomen, not just next to the gall bladder hence i wasnt 100% convinced. I did suggest to do an ex-lap but owner didn’t want to do surgery and patient got euthanased. 🙁 so..I thought to post this to find out what makes this gall bladder appearance.

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