Try to decompress biliary occlusion
Feline, Himalayan, 12.5 years old, female spayed, 6.6 lbs.
Clinical history:The owner stepped on the cat about three days ago, and it has been lethargic without eating or drinking since then. The cat has lost 0.6 lbs in the past month and has been diagnosed with hip dysplasia.
The findings show rectal temperature 102.8°F, heart rate 140 beats/min, sinus rhythm, respiration 20 breaths/min, pink tacky mucous membranes, no heart murmur heard, ear disease and arthritis. Therapy has included prednisone, Rimadyl and ketoprofen.
A complete blood count, serum chemistry profile and urinalysis were performed and are outlined in Table 1.
Survey thoracic and abdominal radiographs are done. The thoracic radiographic views are unremarkable (Images 1-7).
The abdominal radiographs show an enlarged liver, a prominent spleen, radiodense area in the location of the gall bladder, hip dysplasia and moderate spondylosis.
Thorough abdominal ultrasound is performed with the cat positioned in dorsal recumbency.
The tentative diagnosis is chronic cholangitis and biliary tract occlusion. There was no obvious evidence of cancer noted during this abdominal ultrasound study.