Hypothyroidism and necrotizing cholecystitis in a West Highland White Terrier
A 13.5 year-old female spayed West Highland White Terrier was presented to the Cornell University Hospital for Animals (CUHA) after a 2-day history of anorexia and vomiting. Initial diagnostics disclosed increased hepatobiliary enzymes (ALT, ALP, GGT), hyperbilirubinemia, and a severely distended gallbladder, adjacent anechoic fluid, and reactive hyperechoic fat suggestive of biliary leakage. Peritoneal cytology was consistent with a suppurative process and an exploratory laparotomy was performed. The suspected site of biliary leakage was identified during surgery and a cholecystectomy was performed. A thyroid panel collected previously was consistent with a diagnosis of primary hypothyroidism and was thought to play a role in the pathogenesis of necrotizing cholecystitis seen in this patient. Four months after the procedure, the patient was doing well both clinically and on laboratory assessment.
Senior seminar paperSeminar SF610.1 2011
Dogs -- Diseases -- Case studies