Case of the week 2.27.23
Publication Date: 2023-02-27
History
10 year old male castrated dog. History of chronic hematochezia for the last 3 months.
3 images
Findings
Orthogonal radiographs of the abdomen are available for interpretation.
Abdominal serosal detail is normal. The liver is small which results in cranial deviation of the gastric axis. Otherwise, the gastrointestinal tract, spleen, kidneys and urinary bladder remain normal. The included portions of the thorax remain normal.
Diagnosis
The size of the liver likely represents a normal patient variant, however, an underlying chronic hepatopathy cannot be entirely excluded. A cause for the patient’s reported hematochezia is not identified on the current radiographic study.
Discussion
The patient had an abdominal ultrasound that was mostly unremarkable.
This case illustrates a mostly normal abdomen. It is easy to over interpret radiographs. The case had a subsequent medicine workup.
Notes
This case was initially seen by Dr Monto on clinics.
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