– 12 yr old FS Pomerarian
– vomting, anorexia, lethargy
– increased liver enymes, WBC
– ultrasound shows hyperechoic reactive tissue around the periphery of the GB
– positive Murphy sign
– I’m pretty sure this is a perforating GB mucocele but not a classic kiwi-fruit presentation?
– I have recommended that this pet be taken immediately to surgery for cholecystectomy and liver biopsy
Sound like the right plan?
– 12 yr old FS Pomerarian
– vomting, anorexia, lethargy
– increased liver enymes, WBC
– ultrasound shows hyperechoic reactive tissue around the periphery of the GB
– positive Murphy sign
– I’m pretty sure this is a perforating GB mucocele but not a classic kiwi-fruit presentation?
– I have recommended that this pet be taken immediately to surgery for cholecystectomy and liver biopsy
Sound like the right plan?
2 responses to “Perforating GB?”
Yep classic inflamed
Yep classic inflamed doubt if perforated yet though as the ill-defined fat is localized to the nexk. Suspened ice cream swirl bile in the GB. I bet you got a + murphy sign when scanning the Gb neck???
For some light saturday evening reading take a read through our article on defining a Gb mucocele with Q for some of the sonopath members and others worldwide
It will likely look like this surgically – photo
To cut is to cure here… sit on it and may perf and dead dog 🙁 Once clinical (ADR) and inflamed I cut them for sure. Once a bad gland always a bad gland.
Yep classic inflamed
Yep classic inflamed doubt if perforated yet though as the ill-defined fat is localized to the nexk. Suspened ice cream swirl bile in the GB. I bet you got a + murphy sign when scanning the Gb neck???
For some light saturday evening reading take a read through our article on defining a Gb mucocele with Q for some of the sonopath members and others worldwide
It will likely look like this surgically – photo
To cut is to cure here… sit on it and may perf and dead dog 🙁 Once clinical (ADR) and inflamed I cut them for sure. Once a bad gland always a bad gland.