Premium
Placement of a temporary cholecystostomy tube to relieve pancreatic EHBDO in a dog
Author(s) -
Martiny Pia,
Hayes Galina
Publication year - 2019
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2019-000878
Subject(s) - medicine , cholecystostomy , pancreatitis , labrador retriever , surgery , pacu , common bile duct , tube (container) , bile duct , biliary tract surgical procedures , intubation , endoscopic retrograde cholangiopancreatography , cholecystectomy , biliary tract , acute cholecystitis , mechanical engineering , engineering
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.