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Related Experiment Videos

Gallbladder aspirate from a dog.

Jennifer A Neel1, Jaime Tarigo, Carol B Grindem

  • 1Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA. jennifer_neel@ncsu.edu

Veterinary Clinical Pathology
|November 24, 2006
PubMed
Summary
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A dog with emphysematous cholecystitis had bacteria and fungi in its bile. This case highlights bactibilia

Area of Science:

  • Veterinary Medicine
  • Gastroenterology
  • Hepatology

Background:

  • A 7-year-old Labrador Retriever with a history of pancreatitis and inflammatory bowel disease presented with vomiting and anorexia.
  • Serum biochemistry indicated cholestasis, hepatocellular insult, and decreased hepatic function.

Observation:

  • Ultrasound revealed gallbladder sediment and gas, leading to a diagnosis of emphysematous cholecystitis.
  • Surgical exploration and bile cytology identified bacteria (bactibilia) and the fungus Cyniclomyces guttulatus.
  • Histopathology confirmed active and chronic cholecystitis, with concurrent bacterial hepatitis or cholangiohepatitis.

Findings:

  • Bacterial cultures revealed normal gastrointestinal flora, suggesting an ascending infection.
  • The fungal organisms (C. guttulatus) were considered incidental findings.

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  • Despite treatment, the dog's condition deteriorated, leading to euthanasia and necropsy confirming end-stage liver disease.

    • Implications:

    • This case underscores the role of bactibilia in the pathogenesis of acute cholecystitis.
    • It highlights the characteristic cytologic appearance of C. guttulatus in bile, often an incidental finding.
    • The study emphasizes the complexity of diagnosing and treating concurrent gastrointestinal and liver diseases in dogs.