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Dogs
Placement of a temporary cholecystostomy tube to relieve pancreatic EHBDO in a dog
  1. Pia Martiny1 and
  2. Galina Hayes2
  1. 1Emergency and Critical Care, Cornell University, Ithaca, New York, USA
  2. 2Small Animal Surgery Section, Cornell University, Ithaca, New York, USA
  1. Correspondence to Dr Pia Martiny; pmm255{at}cornell.edu

Abstract

A 12-year-old male neutered labrador retriever was treated for extrahepatic bile duct obstruction (EHBDO) secondary to acute pancreatitis. Supportive care was provided for 14 days, but despite treatment the dog’s clinical condition worsened. A temporary cholecystostomy tube was placed via minilaparotomy to provide extracorporeal diversion of bile until patency of the common bile duct was spontaneously re-established. Within 24 hours of tube placement, marked improvement in total bilirubin was noted and the dog could be managed as an outpatient. Clinical signs resolved rapidly, and despite complications with the external tubing necessitating replacement after 48 hours the procedure and tube were well tolerated. Patency of the common bile duct was spontaneously re-established three weeks after tube placement, and the cholecystostomy tube was removed percutaneously. No recurrence of EHBDO was noted in the 13 months following removal of the cholecystostomy tube.

  • extrahepatic bile duct obstruction
  • pancreatitis
  • cholecystostomy tube
  • biliary drainage
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Footnotes

  • Contributors Both authors participated in the writing, review, drafting and final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No additional data are available.

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