At ChesterGates, we bring together specialists in imaging, surgery, internal medicine, and international laboratories to provide world-class care. Tea’s case is a perfect example of how our team-based approach led to a life-changing diagnosis.
Tea was feeling perfectly well when she went for routine bloodwork ahead of a minor procedure to remove some benign lumps. But when her liver enzyme levels were unexpectedly high, her primary vet decided that further investigation was needed.
Tea was referred to ChesterGates, where she underwent specialist imaging. Her ultrasound revealed only a slightly smaller-than-normal liver, leaving the cause of her abnormal bloodwork unclear. To get answers, our surgical team performed a minimally invasive (keyhole) liver biopsy, allowing us to collect high-quality samples while avoiding open surgery.
The samples were sent to a leading liver pathology laboratory in the United States, where advanced testing confirmed the diagnosis: Copper-Associated Hepatitis. This condition occurs when excess copper builds up in the liver, leading to inflammation and potential liver damage.
Tea was immediately started on a therapeutic copper-restricted diet and a medication called D-penicillamine, which helps remove excess copper from her liver. Just three months later, her liver enzymes had dropped by half, and she continues to be happy and healthy.
What is Copper-Associated Hepatitis?
This condition is most common in breeds like Labrador Retrievers and Bedlington Terriers, and is linked to genetic mutations that affect how the liver processes copper. Treatment focuses on reducing copper intake—through diet and even drinking water—while using chelation therapy (like D-penicillamine) to remove excess copper from the body.
Liver biopsies are essential for diagnosis, and at ChesterGates, we are fortunate to offer laparoscopic (keyhole) biopsies, reducing recovery time and avoiding the need for open surgery. Our international laboratory partnerships mean we can obtain precise copper measurements from smaller samples and benefit from the expertise of multiple specialist liver pathologists—ensuring the most accurate diagnosis possible.
