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Peer-reviewed veterinary case report

Cat with double gall bladder and gallstones causing rupture

By Moores, A L & Gregory, S P·Published in The Journal of small animal practice·2007·Department of Veterinary Clinical Sciences, United Kingdom·View original on PubMed

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Original publication title: Duplex gall bladder associated with choledocholithiasis, cholecystitis, gall bladder rupture and septic peritonitis in a cat.

Species:
cat

Plain-English summary

A 10-year-old cat was brought in because she wasn't eating, had a fever, and was losing weight. Tests showed she had anemia, high bilirubin levels, and a serious infection in her abdomen, along with a rare condition where she had two gall bladders, one of which had ruptured and was filled with gallstones. The vet performed surgery to repair the ruptured gall bladder and remove the stones, but unfortunately, the cat remained very unwell and was euthanized three days later at her owners' request.

People also search for: cat not eating · cat gall bladder problems · cat surgery recovery · cat weight loss and fever

Abstract

A 10-year-old cat was presented with a history of inappetence, pyrexia and weight loss. Clinical investigations showed anaemia, hyperbilirubinaemia, septic peritonitis and a double gall bladder with choleliths in an extrahepatic duct. Initial medical stabilisation was performed. At laparotomy, a duplex gall bladder with two separate cystic ducts was identified. The left gall bladder was thickened and had ruptured at the apex. Multiple choleliths were identified in the left cystic duct. The right gall bladder and cystic duct were grossly normal. The ruptured gall bladder was repaired, the gallstones were removed via a choledochotomy of the left cystic duct and a choledochoduodenostomy was created from the dilated left cystic duct. The cat remained depressed and anorexic, and it was euthanased 72 hours postoperatively at the owners' request. This is the first ante-mortem investigation of extrahepatic biliary disease associated with gall bladder duplication in the cat.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/17610469/