KMID : 1094020080250040295
|
|
Journal of Veterinary Clinics 2008 Volume.25 No. 4 p.295 ~ p.302
|
|
Percutaneous Ultrasound-Guided Cholecystocentesis for Treatment of Extrahepatic Biliary Tract Obstruction Concurrent with Pancreatitis in Two Dogs
|
|
Cho Hang-Myo
Chun Haeng-Bok Kim Ju-Hyung Chun Hye-Young Kim Tae-Hun Kang Ji-Houn Han Tae-Sung Na Ki-Jeong Yang Mhan-Pyo Kim Gon-Hyung Chang Dong-Woo
|
|
Abstract
|
|
|
Two dogs were referred to Veterinary Medical Center, Chungbuk National University with the clinical signs of vomiting, diarrhea, anorexia, and jaundice. Both dogs were diagnosed as extrahepatic biliary tract obstruction(EHBO) with concurrent pancreatitis based on dilated common bile duct and hyperechoic or mixed-echoic pancreas in abdominal ultrasonographic examination and serum biochemical abnormalities, such as high serum bilirubin, cholesterol, and increased cholestatic enzyme activity. Percutaneous ultrasound-guided cholecytocentesis(PUCC) was performed to examine bile and decompress the gall bladder. After PUCC with medical therapy, both dogs were steadily improved clinical signs of jaundice and anorexia. Also, cholestatic enzyme activity and serum bilirubin concentration decreased. Any complications that have been described in previous studies, such as peritonitis resulting from bile leakage and hemorrhage, were not identified. It is assumed that percutaneous ultrasound guided cholecystocentesis may be an useful diagnostic and therapeutic tool in canine gallbladder disease and can be used easily and safely to gain bile for diagnosis of bacterial cholecytitis.
|
|
KEYWORD
|
|
extrahepatic biliary obstruction, pancreatitis, bile, gallbladder
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|