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Imaging diagnosis: biliopleural fistula in a dog
Author(s) -
Davis Kechia M.,
Spaulding Kathy A.
Publication year - 2004
Publication title -
veterinary radiology and ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.541
H-Index - 60
eISSN - 1740-8261
pISSN - 1058-8183
DOI - 10.1111/j.1740-8261.2004.04011.x
Subject(s) - medicine , fistula , pleural effusion , presentation (obstetrics) , surgery , differential diagnosis , peritonitis , radiology , effusion , abdominal ultrasonography , ultrasonography , pathology
A 3‐year‐old intact male Brittany Spaniel was admitted for thoracic gunshot wounds. Despite continued supportive care, the dog's condition deteriorated. Thoracic/abdominal ultrasound revealed a biliopleural fistula. Following fistula repair, the dog made a complete recovery. This case represented a diagnostic challenge because of the uncommon clinical presentation of a severe bile pleuritis in the absence of significant bile peritonitis. Biliopleural fistula is a rare condition but should be considered as a differential diagnosis in trauma patients with pleural effusion, especially those with penetrating thoracic injuries. Ultrasonography can be used to diagnose this disorder preoperatively.