A 12-year-old female persian cat was referred by the RDVM for abdominal ultrasound with the complain of chronic diarrhea. PCKD was found with several cysts in the liver. I also found a highly dilated muco bile duct. It was hard to trace it back to the gall bladder as the liver had several cysts and distinguising gall bladder from cysts was not possible – at least for me. What do you think can the chronic diarrhea be caused by the muco bile duct – less bile flow to the intestines and then maldigestion, leading to diarrhea. Few loops of the intestines were thickened also
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Sorry forgot to mention – Bilirubin is normal for this cat which is weird!
Yeh its possible there may be relationship or an incidental comorbidity. Great view. Try ursodiol for about 6 weeks and recheck the sonogram. Chronic cbd dilation can occur without bili elevation in cats especially. Possibly a dysfunctional duodenal papilla if chronic Gi changes are present in the duodenum
Thank you Erric for your great input as always. I have attached a video of the PV of this cat. Don’t know how to explain this. Is this a smoke in the portal vein or what. Looks like an impending thrombus. But is it the blood clot flowing towards the liver or the clot is there and it is just moving with the flow of blood?
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Download File: https://members-media.s3.amazonaws.com/wp-content/uploads/2023/04/03073152/202304102046370076abd_oT6BpBoe.mp4?_=1yeh that’s spontaneous contrast I would run a coag panel and maybe a bile acid test… That is too much of a lava lamp to be normal