International Veterinary Ultrasound Society

Case of the Month - August 2003

Click on an image for a larger view and scroll down to the bottom for the final answer.

Signalment:
14 year old, Male, Castrated, Cocker Spaniel

History:
Previously diagnosed with Addison's Disease and started on predisone. Seizures were controled with phenobarbital.

Presented with mildly elevated liver enzymes and hypoalbuminemia, elevated bile acids, increased lethargy.

Ultrasound Images:
Two images are provided of the gall bladder.

Initial differentials?

Diagnosis:

Cystic Mucinous Hypertrophy and cultured alpha hemolytic Strep, first described by Kovatch in 1965 (Pathol Vet 2:574-584), is a common cause of thickening in older small breed dogs. In the end stage form of this disease the bile becomes gelatinous (=mucocoele (sic)) and results in biliary obstruction. We recommend surgery even without signs of biliary obstruction

2009	2006	2005
January 2009 February 2009 March 2009 April 2009 May 2009 June 2009 July 2009	January 2006 February 2006	January 2005 February 2005 March 2005 April 2005 May 2005 June 2005 July 2005 August 2005 September 2005 October 2005 November 2005 December 2005

2004	2003
January 2004 February 2004 July 2004 August 2004 September 2004 October 2004 November 2004 December 2004	January 2003 February 2003 March 2003 April 2003 May 2003 June 2003 July 2003 August 2003 September 2003 October 2003 November 2003 December 2003

News

Meeting:
See you in Jackson Hole, WY for the 2012 Annual Meeting, October 9-13, 2012.
Meeting information and early registration are available now!

Certificate:
Drs. Bossung, Lindquist and Miller have successfully completed the IVUSS Ultrasound Certificate Program, which includes didactic training, case submission, practical exam and a written final examination.

Congratulations Amy, Eric and Chris!

IVUSS Election Results:
President: Eric Lindquist
President Elect: Doug Casey
Past President: Gretchen Rowe
Member-at-large: Fern Delaney

Members:
The members section is continuing to be developed with articles, resources, classifieds and more. A username and password is required for access. If your membership fees are current and you would like access, please send an e-mail for the required information.