strange gall bladder in 11 y old dog

Re: strange gall bladder in 11 y old dog

fenris7 — Fri, 20 Jul 2012 22:14:52 GMT

Indeed at image 2 there is a stomach with gas, but at the same image you can see something which I believe is dilated bile duct (under the stomach at the left side(measured structure) )

I told the owner that I believe that this dog doesnt have a problem with hepar but we can make another USG next month to see how gall bladder will look like.

Re: strange gall bladder in 11 y old dog

Rajat — Fri, 20 Jul 2012 20:09:11 GMT

[quote user="Rajat"]I agree image is gas shadowing[/quote]

i meant image 2 - keyboard is giving up the ghost!

Re: strange gall bladder in 11 y old dog

Rajat — Fri, 20 Jul 2012 20:08:33 GMT

I agree image is gas shadowing from stomach and that US is very much operator dependent and videos better than stills.

I will venture that the GB is not dilated, and the portal vein is being measured rather than the common bile duct especially image 3 looks that way - very bright parallel linear echoes.

The density in the GB - no idea. could just be sludge solidifying a bit. No shadowing there.

I'd note the findings, but ignore them in the absence of any related disease processes..

Re: strange gall bladder in 11 y old dog

Andrew Kent — Wed, 18 Jul 2012 11:01:16 GMT

the second image looks more like stomach to me with gas shadowing.

In the absence of clinical or clinical pathology findings any variation in gall bladder appearance is likely to be incidental.

I think it is almost impossible to pass much judgement on still images of somebody elses ultrasound scansas it is very much a moving imaging tool.

Andy

Re: strange gall bladder in 11 y old dog

fenris7 — Wed, 18 Jul 2012 09:12:10 GMT

Owner was on holidays and went to other doctor in other city because of pruritus. Except solving pruritus problem , they also made blood investigation and ultrasound (as the owner claims - because of bad AST result) Other doctor diagnosed biliary tracts extension but because I havent seen any clinical signs I wasn't sure about the whole procedure, I wanted to check it. I believe that this dog has no such a problem but I am not completely sure.

[quote user="Andrew Kent"] Gall bladders can look strange in some imaging planes!

[/quote]

Extension of the biliary tracts starts from the neck of the gall bladder and reaches cranial duodenal flexure.

Re: strange gall bladder in 11 y old dog

Andrew Kent — Wed, 18 Jul 2012 08:07:49 GMT

What was the reason for the ultrasound if bloods normal? Gall bladders can look strange in some imaging planes!