Peer-reviewed veterinary case report
Dog with pyloric and duodenal pythiosis treated by surgery
By Dycus, David Lee et al.·Published in Journal of the American Animal Hospital Association·2015·From the Department Orthopedic Surgery·View original on PubMed →
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Original publication title: Surgical and Medical Treatment of Pyloric and Duodenal Pythiosis in a Dog.
- Species:
- dog
Plain-English summary
A 5-year-old male mixed-breed dog was brought in for ongoing vomiting two weeks after surgery for a blockage in the stomach. Tests showed he had a rare infection called pythiosis, which required extensive surgery to remove affected parts of his digestive system. After surgery, he was treated with antifungal medications and showed improvement, with no signs of the infection returning over the next several months. However, he did develop some liver issues later on, which were found to be related to the surgery. Overall, the treatment for pythiosis was successful, but the dog will need ongoing care for his liver health.
People also search for: dog vomiting after surgery · pythiosis treatment in dogs · dog liver problems after surgery
Abstract
A 5 yr old, male, neutered mixed-breed dog was referred for persistent vomiting 2 wk following a pyloric biopsy for a pyloric outflow obstruction. Histopathology at the time of initial surgery was suggestive of pythiosis. Following referral, the dog underwent radical surgical treatment with a Billroth II procedure, partial pancreatectomy, and cholecystoduodenostomy. Histopathology and serology confirmed the diagnosis of pythiosis and medical treatment consisting of itraconazole and terbinafine was started postoperatively. Serology titers were checked again at 8, 12, and 24 wk postoperatively revealing a positive response to treatment and no reoccurrence of pythiosis. Since surgery, the patient experienced waxing and waning elevations of liver values and laparoscopic liver biopsies 10 mo postoperatively revealed hepatic cirrhosis with fibrosis, bile duct hyperplasia, and chronic inflammation. This report documents successful treatment of pyloric/duodenal pythiosis and the long-term (17 mo) consequences associated with the Billroth II, partial pancreatectomy, and biliary rerouting in the dog.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26535457/