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Hypothyroidism and necrotizing cholecystitis in a West Highland White Terrier

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Abstract

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.

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Senior seminar paper
Seminar SF610.1 2011

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2010-12-01

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Dogs -- Diseases -- Case studies

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term paper

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