Hepatic abscesses
Publication Date: 2016-08-03
History
13-year-old mixed breed. Acute onset of vomiting and lethargy. Previous cholecystectomy years ago.
4 images
Findings
Orthogonal radiographs of the abdomen are available for interpretation. There is moderate loss of serosal detail in the ventral abdomen with associated streaking. On all views but most conspicuous on the VD projection there are multiple gas lucencies superimposed with the hepatic parenchyma on the right side just caudal to the 10th rib. Adjacent to the head of the 10th rib on the VD view there is a well-defined linear metallic opacity. The remainder of the abdominal cavity is considered to be within normal limits. There is no evidence of mechanical obstruction. There is a mild to moderate amount of ventral spondylosis at the level of L7-S1 with associated sclerosis of the endplates.
Diagnosis
Gas lucencies superimposed with the hepatic parenchyma. These could represent hepatic abscesses, necrotic neoplasia, or emphysematous cholangiohepatitis. The streaking and loss of serosal detail were due to presence of free abdominal fluid (peritonitis)
Pathology Report
The dog underwent abdominal surgery and hepatic abscesses were found. Upon microbiologic culture the underlying pathogen was identified as E.Coli.
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