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Gallbladder perforation associated with cholelithiasis and cholecystitis in a dog
C Brömel1, R Léveillé, P V Scrivani
1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210-1089, USA.
The Journal of Small Animal Practice
|December 10, 1998
Summary
A Japanese Akita developed bile peritonitis due to gallbladder perforation and gallstones. Prompt cholecystectomy led to a full recovery, highlighting the importance of considering this triad in canine liver disease.
Area of Science:
- Veterinary Medicine
- Gastroenterology
- Canine Pathology
Background:
- Gallbladder disease in dogs can lead to severe complications.
- Biliary tract rupture and bile peritonitis are uncommon but critical conditions.
Observation:
- A four-year-old Japanese Akita presented with jaundice, ascites, and elevated liver enzymes.
- Abdominal ultrasound showed gallbladder wall thickening, a defect, enlarged lymph nodes, and peritoneal fluid.
Findings:
- Diagnosis confirmed biliary tract rupture with bile peritonitis, evidenced by bile and exudate in peritoneal fluid.
- Exploratory surgery revealed a perforated gallbladder with gallstones and chronic suppurative cholecystitis.
Implications:
- This case underscores the importance of considering cholelithiasis, cholecystitis, and gallbladder perforation as a potential triad in canine patients.
- Early diagnosis and surgical intervention, such as cholecystectomy, are crucial for successful outcomes in gallbladder rupture cases.