Peer-reviewed veterinary case report
Dog vomiting and jaundice treated with bile duct stent placement
By Work, M et al.·Published in The Journal of small animal practice·2022·Willows Veterinary Centre and Referral Service, United Kingdom·View original on PubMed →
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Original publication title: Percutaneous-endoscopic rendezvous cholangiography with biliary stent placement in a dog with extra-hepatic biliary duct obstruction.
- Species:
- dog
Plain-English summary
A middle-aged male springer spaniel was brought in for acute vomiting, lethargy, and yellowing of the skin and eyes (icterus). An ultrasound showed that his gall bladder and bile duct were swollen due to a blockage caused by mineral buildup. After 48 hours of treatment with fluids, pain relief, and antibiotics, the vet performed a special procedure to place a stent in the bile duct, which successfully cleared the obstruction. Following the procedure, blood tests showed significant improvement, and the dog has remained healthy for 24 months, with normal liver function.
People also search for: dog vomiting and lethargy · springer spaniel bile duct obstruction treatment · dog icterus causes and treatment
Abstract
A middle-aged male springer spaniel was presented for investigation of acute vomiting, lethargy and icterus. Marked distension of the gall bladder and common bile duct was evident at ultrasound due to obstruction by mineralised intraluminal material. After 48 hours of hospitalisation with intravenous fluid therapy, analgesia and antimicrobial therapy, intervention was deemed necessary to relieve the obstruction. A percutaneous-endoscopic rendezvous approach was used to achieve placement of a pigtail stent into the distal common bile duct, successfully relieving the obstruction. Serial biochemistry measurements postprocedure confirmed marked improvements in serum bilirubin. The patient remains clinically well 24 months postprocedure, and all hepatic enzyme activities have normalised. Based on the literature search performed, this is the first successful application of this technique in the management of canine extrahepatic biliary duct obstruction.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34658028/