Hello
I have Smokey a 13year old DSH who is clinically well but has had increasing liver enzymes at their regular vet. They are now 6x elevated but still not clinical. We ran a spec lipase that was markedly elevated today.
US shows possibly slightly hypoechoic pancreas but otherwise unremarkable. Traced the pancreatic duct and bile duct and it measures under 0.4cm.
The question I have is the Gallbladder. The wall was markedly thickened. All my research says it is non-specific but I assume is a sign of pathology.(cholangiohepatitis, etc…)
Hello
I have Smokey a 13year old DSH who is clinically well but has had increasing liver enzymes at their regular vet. They are now 6x elevated but still not clinical. We ran a spec lipase that was markedly elevated today.
US shows possibly slightly hypoechoic pancreas but otherwise unremarkable. Traced the pancreatic duct and bile duct and it measures under 0.4cm.
The question I have is the Gallbladder. The wall was markedly thickened. All my research says it is non-specific but I assume is a sign of pathology.(cholangiohepatitis, etc…)
I guess the question is: Is a liver FNA and biopsy likely to get an answer? Is an FNA of the GB for culture wise in theses cases?
Thanks. Brent
Comments
Very thickened wall so
Very thickened wall so chronic cholecystitis, cholangio-hepatitis very likley but neoplasia may be a consideration. I assume that hyperthyroidism has been ruled out?
Any response to symptomatic therapy with Urosdiol? FNA of liver and gall bladder wall and bile may help.
Cat is asymptomatic at this
Cat is asymptomatic at this point but the enzymes keep creeping up. One of our vets began treatments yesterday to see if we can resolve the enzymes. We plan on repeating blood and ultrasound in 1 -2 months.
Thanks. Brent
Looks very cholecvystitis to
Looks very cholecvystitis to me 25 g centesis and culture and 22 g fna of liver is what I would do to distinguish LP vs neutrophilic cholangitis