Peer-reviewed veterinary case report
Dog gall bladder mucocele surgery outcomes and risks
By Malek, Sarah et al.·Published in Veterinary surgery : VS·2013·Department of Companion Animals, Canada·View original on PubMed →
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Original publication title: Clinical findings and prognostic factors for dogs undergoing cholecystectomy for gall bladder mucocele.
- Species:
- dog
Plain-English summary
A group of dogs with gall bladder mucoceles underwent surgery to remove the affected gall bladder. During the procedure, some dogs showed signs of complications, such as gall bladder rupture or leakage into the abdomen. After surgery, dogs that had low blood pressure or high levels of lactate in their blood were less likely to survive. Monitoring these factors can help veterinarians assess the risk for dogs undergoing this surgery and improve their chances of recovery.
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Abstract
OBJECTIVE: To report clinical findings and explore prognostic factors for dogs that had cholecystectomy for gall bladder mucocele. STUDY DESIGN: Retrospective case series. ANIMALS: Dogs (n = 43) with gall bladder mucoceles. RESULTS: Diagnosis of gall bladder mucoceles was confirmed by histopathology and 74% were diagnosed based on preoperative abdominal ultrasonography. Intraoperative evidence of gall bladder rupture was noted in 10 dogs (23%), and 16 (37%) had evidence of previous leakage in the abdominal cavity. One dog had positive bacterial growth from the gall bladder content. The most common histopathologic findings in liver biopsies obtained at surgery were cholangiohepatitis, biliary hyperplasia, or cholestasis. Univariate analysis showed evidence of postoperative hypotension (P = .05) to be significantly negatively associated with survival. Significant difference in mean postoperative serum lactate (P = .034) and postoperative packed cell volume (P = .063) between dogs that survived and died was also noted. CONCLUSIONS: Elevations in postoperative serum lactate concentrations and immediate postoperative hypotension in dogs undergoing cholecystectomy for gall bladder mucoceles are associated with poor clinical outcome.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23330871/