- 11 year old YST presenting with symptoms of recurrent pancreatitis with increased frequency
- Pancreatitis present (mild, chronic) but also liver nodule and mineralised gallbladder mass with blood supply on doppler
- Do you think this is an inflammatory mass polyp or neoplasia? Should it be removed?
- 11 year old YST presenting with symptoms of recurrent pancreatitis with increased frequency
- Pancreatitis present (mild, chronic) but also liver nodule and mineralised gallbladder mass with blood supply on doppler
- Do you think this is an inflammatory mass polyp or neoplasia? Should it be removed?
Comments
Although it can be
Although it can be challenging to distinguish congealed bile or mucus from polyps from luminal GB masses, I dont like the fact that there is blood flow with mineralization in the area.
So yes, in my opinion, cholecystectomy with hepatic parenchyma and nodule biopsy / resection and histopath.
I am leaning much more
I am leaning much more towards a polyp as there is a clear anchoring pedicle that appears on the video. I don’t think that you will be able to capture vascular flow due to respiration motion artifacts in the cranial abdomen. You may see the pedicle better while scanning the GB with the caudal part of the pet elevated. This would put tension on the stump through gravity. You might be better able to visualize it this way.
The echogenic pattern of the mass is also inconsistent with congealed bile in my opinion. Elastography would help here to better define it.
I am not in a rush to remove it as it would seem very unlikely to be malignant with such a thin pedicle if it is indeed real. Of the two dogs that I have seen with polyps in their GB’s, I have left them alone. One has been left alone for over 4 years with no ill effects.
Thank you both .
Thank you both .