Peer-reviewed veterinary case report
Cat with blocked bile duct treated by bile duct re-implantation
By Hayes, Galina et al.·Published in The Canadian veterinary journal = La revue veterinaire canadienne·2019·Cornell University - College of Veterinary Medicine, United States·View original on PubMed →
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Original publication title: Common bile duct obstruction palliated with common bile duct re-implantation (choledochoduodenostomy) in a cat.
- Species:
- cat
Plain-English summary
A cat was brought in with a complete blockage of the bile duct, which was causing serious health issues. The veterinarian removed the damaged section of the bile duct and also took out the gallbladder due to inflammation and tissue death. They then reattached the remaining bile duct to the intestine, and the cat initially recovered well and was symptom-free for six months. Unfortunately, the cat later developed a cancer related to the bile duct, which led to the difficult decision to euthanize.
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Abstract
A cat was presented with complete biliary obstruction at the level of the distal common bile duct (CBD), with loss of normal architecture. The area was excised and submitted for histopathology. Concurrent cholecystitis and gall bladder necrosis necessitated cholecystectomy. The proximal CBD was preserved and re-implanted adjacent to the original duodenal papilla. The cat recovered and remained asymptomatic for 6 months. At clinical relapse a carcinoma of suspected biliary origin was confirmed, and the cat was euthanized. In situations in which the CBD lumen cannot be re-established, the pathology is limited to the distal CBD, and the gall bladder is not available for cholecystoenterostomy, CBD re-implantation may be an option to salvage and retain a functional biliary tree.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31597994/