1. Intrahepatic Duct Incision and Closure for the Treatment of Multiple Cholelithiasis in a Dog.
- Author
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Kang, Ji-Hoon, Noh, Mi-Young, and Yoon, Hun-Young
- Subjects
FEMALE dogs ,BILE ducts ,GALLSTONES ,C-reactive protein ,VETERINARY medicine ,INTRAHEPATIC bile ducts - Abstract
Simple Summary: In veterinary medicine, intrahepatic cholelithiasis is a difficult disease to manage. Previously, treatment methods such as medical management or a liver lobectomy were suggested, although they cannot be used to treat some patients. Here, we describe the use of intrahepatic duct incision and closure to remove most of the cholelithiasis in the hepatic ducts of the left medial and lateral liver lobes in a dog with untreated hypothyroidism and multiple cholelithiasis. To our knowledge, this is the first report of this procedure in veterinary medicine. The findings from this case suggest that this technique can be used as a safe and feasible option in veterinary medicine as well as human medicine. However, because it often cannot remove all intrahepatic cholelithiasis, physicians must be cautious when choosing this treatment method. Although it is not the best way to treat intrahepatic duct cholelithiasis, it can be a new treatment option for patients who cannot receive conventional treatment methods. This report describes the successful intrahepatic duct incision and closure for the treatment of multiple cholelithiasis in a dog with untreated hypothyroidism. A 12-year-old spayed female Spitz dog weighing 11.3 kg was diagnosed with multiple cholelithiasis, and a quadrate liver lobectomy and cholecystectomy were performed. Large gallstones were located in the left liver lobe's intrahepatic duct distal to the anastomosis of the intrahepatic ducts of the left medial and lateral lobes. The dilated intrahepatic duct was packed off with wet gauze, and incision and closure were performed on the most dilated section, which was proximal to the largest gallstone. After surgery, the patient showed normal liver function and was discharged with normal total bilirubin and C-reactive protein levels. On postoperative day 83, no stones were observed in the dilated common bile duct (CBD), and the degree of dilatation of the CBD had decreased from 9 mm to 4 mm, with no obstructions. Right intrahepatic gallstones were confirmed without dilatation. Hypothyroidism was managed medically. Hepatic duct incision and closure can be performed in dogs with multiple cholelithiasis. Although not the first option, intrahepatic bile duct incision proves to be a new alternative for the successful treatment of cholelithiasis in dogs. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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