An 11-year-old SF mixed breed dog was presented for a routine dental. Physical examination and CBC were both normal. Abnormalities on serum biochemistry were elevated ALT (1000), ALP (1281), and GGT (53) activity.
03_00500 Maude M Mucocele
History
Clinical Differential Diagnosis
Liver – nodular regeneration, vacuolar hepatopathy, reactive hepatopathy, neoplasia, chronic-active hepatitis, cirrhosis
Gall bladder – mucocele, cholecystitis
Cushing’s disease
DX
Mucocele
Sampling
None
Sonographic Differential Diagnosis
Gallbladder mucocele with cholecystitis. Chronic and active inflammatory hepatopathy. Cholecystectomy and liver biopsy are recommended.
Image Interpretation
The liver in this patient presented diffusely increased portal markings and remodeling. The gallbladder presented an echogenic wall with suspended, striating debris and kiwi type appearance. This is consistent with chronic cholecystitis and mucocele formation. The common bile duct did not appear affected. Cholecystectomy and liver biopsy would be recommended.
Outcome
None
Video
Patient Information
Age : 11 Years
Gender : Female, Spayed
Species : Canine
Status : Complete
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
- GGT High
Images
