Peer-reviewed veterinary case report
Dog with bile leak after gallbladder surgery fixed with muscle graft
By Hyun-Jung Han et al.·Published in Frontiers in Veterinary Science·2021·Department of Veterinary Emergency and Critical Care, Konkuk Veterinary Medical Teaching Hospital, Konkuk University, Seoul, South Korea, CH·View original on DOAJ →
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Original publication title: Case Report: Surgical Correction of a Cystic Duct Stump Leakage Following Cholecystectomy Using an Autologous Rectus Sheath Graft in a Dog
- Species:
- dog
Plain-English summary
A 13-year-old Yorkshire Terrier was brought in with bile peritonitis, a serious condition caused by bile leaking into the abdomen after gallbladder surgery. During surgery, the vet found that the end of the cystic duct was open and couldn't be sealed directly. To fix this, they used a piece of tissue from the dog's own body to patch the leak. After the surgery, the dog showed signs of improvement, and follow-up tests showed that liver enzyme levels returned to normal within a month. The owner reported that the dog remained healthy for three years after the surgery without any complications.
People also search for: dog bile peritonitis treatment · Yorkshire Terrier surgery recovery · bile duct leakage in dogs
Abstract
A 2.7 kg, 13-year-old, castrated male Yorkshire Terrier was presented with bile peritonitis after cholecystectomy. Exploratory coeliotomy to identify and correct bile leakage revealed that the transected end of the cystic duct was open with no in-situ ligatures or vascular clips. The residual cystic duct stump was too short to ligate or seal directly. An autologous rectus sheath graft, harvested from the internal leaf of the rectus sheath, was used to patch the cystic duct stump. The graft was secured over the open duct using several simple interrupted sutures and covered with an omentalization. The clinical signs resolved after surgery, except for a transient increase in hepatobiliary enzyme levels and intrahepatic bile duct dilatation. The enzyme levels returned to near normal on day 25 after surgery. No intrahepatic bile duct dilatation was detected on day 55 after surgery. The owner was contacted for 3 years post-operatively and reported that the dog remained healthy without any long-term complications. Grafting using autologous rectus sheath can be used to treat cystic duct stump leakage that cannot be managed with direct closure using traditional modalities due to spatial constraints.
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Search related cases →Original publication on DOAJ: https://doi.org/10.3389/fvets.2021.584975