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Peer-reviewed veterinary case report

Dog with bile leakage in abdomen caused by stomach hole after NSAIDs

By Giovanni Pavone et al.·Published in Veterinary Sciences·2023·Futuravet Veterinary Referral Center, 62029 Tolentino, Italy, CH·View original on DOAJ

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Original publication title: Unusual Case of Biliary Peritonitis in a Dog Secondary to a Gastric Perforation

Species:
dog

Plain-English summary

A Bobtail dog was brought in for not eating, appearing depressed, and vomiting blood after having surgery. Tests revealed he had biliary peritonitis, a serious condition caused by a tear in the bile system, likely triggered by pain medications he had received. Unfortunately, despite medical treatment, his condition worsened, and he was euthanized. A closer examination showed a perforated ulcer in his stomach, which led to the emergency situation.

People also search for: dog vomiting blood · Bobtail dog not eating · biliary peritonitis treatment · gastric ulcer in dogs · dog euthanasia decision

Abstract

Biliary peritonitis is a pathological condition representing a medical emergency with a high risk of mortality. This condition is reported in both human and veterinary medicine following biliary tract rupture, extrahepatic biliary obstructions, gallbladder rupture, trauma, or duodenal perforation. In this report, the first-ever case of biliary peritonitis due to gastric perforation in a Bobtail purebred dog is described, which was probably induced by the administration of nonsteroidal anti-inflammatory drugs (NSAIDs). After an elective splenectomy and castration, the dog was referred to our hospital for medical management for inappetence, mental depression, and multiple episodes of gastric vomits with traces of blood. Clinical diagnostic tests showed the presence of biliary peritonitis. Due to worsening clinical conditions, the patient was subjected to euthanasia. Macroscopic examination showed a free brownish abdominal effusion and the presence of perforating ulcer of the stomach pylorus region.

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Original publication on DOAJ: https://doi.org/10.3390/vetsci10060384