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Thoughts on GB

Sonopath Forum

– 10 year old MN miniature poodle presented for 1 weeks duration of vomting, anorexia

– bloodwork moderate elevations ALP and ALT, high end normel bilrubin and bilirubinuria

– ultrasound consistent with pancreatitis, steatitis and abdominal effusion (pain over the pancreas)

– the GB is distended with an inflammatory region around the neck and effusion in the region – there is pain in this region as well

– to me this looks like a mucocele and am concerned about the possibility of bile peritonitis long with pancreatitis

Surgical case?

– 10 year old MN miniature poodle presented for 1 weeks duration of vomting, anorexia

– bloodwork moderate elevations ALP and ALT, high end normel bilrubin and bilirubinuria

– ultrasound consistent with pancreatitis, steatitis and abdominal effusion (pain over the pancreas)

– the GB is distended with an inflammatory region around the neck and effusion in the region – there is pain in this region as well

– to me this looks like a mucocele and am concerned about the possibility of bile peritonitis long with pancreatitis

Surgical case?

 

Comments

EL

Inflamed mucocele…

Inflamed mucocele… overdistention and dtriatinbg immobile bile…free fluid and inflammatory pattern (Fuzzy fat) next to a GBM is a surgical emergency. Out with the GB ! 🙂

Pankatz

Perfect! Was sent to surgical

Perfect! Was sent to surgical referral last night : )

Thanks

randyhermandvm

Was the pancreas OK

Was the pancreas OK

Pankatz

Randy, I may not find out as

Randy, I may not find out as I was called in for an emergency clinic scan and I don’t even know who the regular DVM is – but if I find out I will let you know.