Today’s case is an 8-year-old male neutered Australian cattle dog cross with 10-day history of vomiting and lethargy. Where is the abnormality?
Teaching and learning about veterinary diagnostic imaging.
Today’s case is an 8-year-old male neutered Australian cattle dog cross with 10-day history of vomiting and lethargy. Where is the abnormality?
The liver is enlarged, and there are multiple gas opacities present in the parenchyma in the right cranial quadrant. The gastric axis is focally displaced caudally. There is poor peritoneal detail in the cranial abdomen.
Ultrasound imaging revealed a hepatic abscess and free peritoneal fluid. Sepsis was diagnosed on cytology of the fluid. Further treatment was not pursued, and cholangiohepatitis with hepatic abscess was confirmed at necropsy. Clostridium sp. and E. coli were cultured from the liver.
Dr. Yovko Haralanov says
Hi! Thank you very much for all cases that you share with us!
Can you explain, why you think that the liver is enlarged?
Greetings from Bulgaria!
Allison Zwingenberger says
Although the liver doesn’t extend beyond the costal arch, the stomach is focally deviated caudally. This means that there is a focal liver enlargement from a mass lesion rather than generalized liver enlargement. It’s a subtle finding but can be important!
Dr. Yovko Haralanov says
Thanks for the very good explanation!
Denise Glassner says
In your opinion, would treatment have been a viable option? What percentage success rate would you give?
Allison Zwingenberger says
Although surgery is an option, I believe the chances of success would decrease with the presence of septic peritonitis.