Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지
DOI QR코드

DOI QR Code

Delayed Clinical Symptoms of Gallbladder Rupture by Gallbladder Mucocele in a Dog

담낭 점액낭종에 의한 담낭 파열의 만성 경과 증례

  • Noh, Daji (College of Veterinary Medicine, Kyungpook National University) ;
  • Kwon, Youngsam (College of Veterinary Medicine, Kyungpook National University) ;
  • Choi, Hojung (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Youngwon (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Kija (College of Veterinary Medicine, Kyungpook National University)
  • Accepted : 2015.12.16
  • Published : 2016.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

An 11-year-old, intact male Cocker Spaniel dog was presented with history of abdominal distension, dyspnea for 10 days and lethargy for 1 day. Abdominal radiographs showed decreased serosal detail with abdominal distension. Abdominal ultrasounds revealed gallbladder mucocele with generalized peritonitis showing stellate-like sludge in the gallbladder with echogenic fat degeneration of cranial abdomen and abdominal free fluid containing echogenic materials. Loss of gallbladder wall integrity was shown clearly on computed tomography but ambiguously on ultrasound. Ultrasound-guided abdominocentesis was performed and showed amount of yellowish-bloody peritoneal fluid with vegetable matter and mucoid substance. On peritoneal fluid analysis, bilirubin level was elevated over three times than those of the serum. On exploratory laparotomy, gallbladder rupture and generalized bile peritonitis with intestinal adhesions were confirmed and cholecystectomy with peritoneal lavage was performed. One day after operation, patient died. This report describes delayed clinical symptoms of gallbladder rupture by gallbladder mucocele. In addition, this is the first case report using computed tomography made a diagnosis gallbladder rupture in a dog. Computed tomography might be helpful to diagnose gallbladder rupture.

Keywords

References

  1. Aguirre AL, Center SA, Randolph JF, Yeager AE, Keegan AM, Harvey HJ, Erb HN. Gallbladder disease in Shetland sheepdogs: 38 cases (1995-2005). J Am Vet Med Assoc 2007; 231: 79-88. https://doi.org/10.2460/javma.231.1.79
  2. Bainbridge J, Shaaban H, Kenefick N, Armstrong C. Delayed presentation of an isolated gallbladder rupture following blunt abdominal trauma: a case report. J Med Case Rep 2007; 1: 52. https://doi.org/10.1186/1752-1947-1-52
  3. Bennet G, Balthazar E. Ultrasound and CT evaluation of emergent gallbladder pathology. Radiol Clin North Am 2003; 41: 1203-1216. https://doi.org/10.1016/S0033-8389(03)00097-6
  4. Besso JG, Wrigley RH, Gliatto JM, Webster CR. Ultrasonographic appearance and clinical findings in 14 dogs with gallbladder mucocele. Vet Radiol Ultrasound 2000; 41: 261-271. https://doi.org/10.1111/j.1740-8261.2000.tb01489.x
  5. Chastain BC, Seupaul RA. Traumatic gallbladder rupture. J Emerg Med 2013; 44: 474-475. https://doi.org/10.1016/j.jemermed.2012.02.025
  6. Choi JH, Kim AY, Keh SY, Oh JY, Kim HW, Yoon JH. Comparison between ultrasonographic and clinical findings in 43 dogs with gallbladder mucoceles. Vet Radiol Ultrasound 2014; 55: 202-207. https://doi.org/10.1111/vru.12120
  7. Crews LJ, Feeney DA, Jessen CR, Rose ND, Matise I. Clinical, ultrasonographic, and laboratory findings associated with gallbladder disease and rupture in dogs: 45 cases (1997-2007). J Am Vet Med Assoc 2009; 234: 359-366. https://doi.org/10.2460/javma.234.3.359
  8. Epstein MG, Silva DL, Elias NC, Sica GT, Favaro Mde L, Ribeiro Junior MA. Isolated rupture of the gallbladder following blunt abdominal trauma: case report. Einstein 2013; 11: 227-228. https://doi.org/10.1590/S1679-45082013000200016
  9. Gali BM, Ali N, Bakari AA, Suleiman IE. Isolated gallbladder rupture following blunt abdominal trauma. Niger J Clin Pract 2013; 16: 398-400. https://doi.org/10.4103/1119-3077.113474
  10. Holt DE, Mehler S, Mayhew PD, Hendrick MJ. Canine gallbladder infarction: 12 cases (1993-2003). Vet Pathol 2004; 41: 416-418. https://doi.org/10.1354/vp.41-4-416
  11. Kim PN, Lee KS, Kim IY, Bae WK, Lee BH. Gallbladder perforation: comparison of US findings with CT. Abdom imaging 1994; 19: 239-242. https://doi.org/10.1007/BF00203516
  12. Ludwig LL, McLoughlin MA, Graves TK, Crisp MS. Surgical treatment of bile peritonitis in 24 dogs and 2 cats: a retrospective study (1987-1994). Vet Surg 1997; 26: 90-98. https://doi.org/10.1111/j.1532-950X.1997.tb01470.x
  13. Malek S, Sinclair E, Hosgood G, Moens NM, Baily T, Boston SE. Clinical findings and prognostic factors for dogs undergoing cholecystectomy for gall bladder mucocele. Vet Surg 2013; 42: 418-426. https://doi.org/10.1111/j.1532-950X.2012.01072.x
  14. Pike FS, Berg J, King NW, Penninck DG, Webster CR. Gallbladder mucocele in dogs: 30 cases (2000-2002). J Am Vet Med Assoc 2004; 224: 1615-1622. https://doi.org/10.2460/javma.2004.224.1615
  15. Salzman S, Lutfi R, Fishman D, Doherty J, Merlotti G. Traumatic rupture of the gallbladder. J trauma 2006; 61: 454-456. https://doi.org/10.1097/01.ta.0000231456.20389.5e
  16. Sood BP, Kalra N, Gupta S, Sidhu R, Gulati M, Khandelwal N, Suri S. Role of sonography in the diagnosis of gallbladder perforation. J Clin Ultrasound 2002; 30: 270-274. https://doi.org/10.1002/jcu.10071
  17. Tsai MJ, Chen JD, Tiu CM, Chou YH, Hu SC, Chang CY. Can acute cholecystitis with gallbladder perforation be detected preoperatively by computed tomography in ED? Correlation with clinical data and computed tomography features. Am J Emerg Med 2009; 27: 574-581. https://doi.org/10.1016/j.ajem.2008.04.024