Case Index - - February 2006 - Case of the Month.
Scroll down to the bottom for the final answer.
Signalment: 4 y.o. FI collie dog
History: vomiting and anorexia for 3 days. Elevated liver enzymes and now bilirubin 2.6 mg.dl
Image: Long axis image of gall bladder. Dog is in dorsal recumbency, plane of view is slightly right of midline parasagittal. Stomach is empty and out of field-of-view.
Questions:
i. Differentials for lesion?
ii. Other imaging tests indicated?
Answer:
Gall Bladder: reverberating lesions in near field (ventral, =nondependent): gas in gall bladder indicated gas forming organisms
DDX: ruptured gall bladder, gas-forming bacteria (anaerobic bacteria)
