- 16 yo mn dsh cat
- hx of inappetance and weight loss
- full stomach on scan (not told to fast and obv didn’t) with blade of grass or something foreign in pylorus (nonobstructive)
- ultrasound otherwise suggests triaditis/occult neoplasia (mast cell/lymphoma
- Labs show mild anemia 31%
- 16 yo mn dsh cat
- hx of inappetance and weight loss
- full stomach on scan (not told to fast and obv didn’t) with blade of grass or something foreign in pylorus (nonobstructive)
- ultrasound otherwise suggests triaditis/occult neoplasia (mast cell/lymphoma
- Labs show mild anemia 31%
Question: What is up with the gall bladder? A bit of a porcelain wall and the cystic duct def looks thickened (double layer wall) but why can’t I see the cranial wall – it’s like there is a defect in it, and the lumen is filled with material isoechoic to liver (doesn’t move at all). Curious what you all think.
Comments
second video looks pretty
second video looks pretty normal… gb wall gets more echogenic with age… maybe just collapsed on the first video. I wouldnt worrry about it normal variants.
It’s true there’s no
It’s true there’s no inflammation so not clinically important but interesting from a pathophysiology point of view. The lumen was literaly the same echogenicity as the liver…can gall bladders resorb?
I would be leaning towards
I would be leaning towards cholangitis (cholangio/hepatitis). The double layering can be due to it being empty but to me the history leans more towards the former. Easy way to R/O by just repeating the scan on another day or seeing if the CBD has the same double layering presentation or the GB is the same as well. If either of these two situations presents themselves on another date then I would be in the Cholangio court .
Thank you Dr. Hylands. That
Thank you Dr. Hylands. That was my thought too, especially since enjoying your artistic ultrasound course at the lab in December. 🙂 I appreciate your weighing in. I’ll see if clinic will let me scan again.