Unusual Case of Biliary Peritonitis in a Dog Secondary to a Gastric Perforation

Abstract

Simple Summary Biliary peritonitis is a pathological condition that represents a medical emergency both in human and veterinary medicine. Its causes are damage to the hepatobiliary tract, gallbladder, or duodenal tract. In this case report, biliary peritonitis due to gastric perforation is reported in a Bobtail dog, probably following the administration of nonsteroidal anti-inflammatory drugs (NSAIDs). After an elective surgery, the dog was referred 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 in the stomach pylorus region. 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.