Placement of a temporary cholecystostomy tube to relieve pancreatic EHBDO in a dog
| Autor: | Pia Martiny, Galina Hayes |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
General Veterinary Common bile duct business.industry medicine.medical_treatment medicine.disease Extracorporeal Surgery medicine.anatomical_structure Cholecystostomy medicine Labrador Retriever Pancreatitis Acute pancreatitis Tube (fluid conveyance) business Extrahepatic Bile Duct Obstruction |
| Zdroj: | Veterinary Record Case Reports. 7 |
| ISSN: | 2052-6121 |
| Popis: | A 12-year-old male neutered labrador retriever was treated for extrahepatic bile duct obstruction (EHBDO) secondary to acute pancreatitis. Supportive care was provided for 14 days, but despite treatment the dog’s clinical condition worsened. A temporary cholecystostomy tube was placed via minilaparotomy to provide extracorporeal diversion of bile until patency of the common bile duct was spontaneously re-established. Within 24 hours of tube placement, marked improvement in total bilirubin was noted and the dog could be managed as an outpatient. Clinical signs resolved rapidly, and despite complications with the external tubing necessitating replacement after 48 hours the procedure and tube were well tolerated. Patency of the common bile duct was spontaneously re-established three weeks after tube placement, and the cholecystostomy tube was removed percutaneously. No recurrence of EHBDO was noted in the 13 months following removal of the cholecystostomy tube. |
| Databáze: | OpenAIRE |
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