Cholecystoenterostomy Surgery in a Cat: A Case Report

Öz

The purpose of this case report is to evaluate the outcomes of cholecystoenterostomy surgery following the diagnosis of bile duct obstruction in a cat based on clinical, ultrasonographic, and laboratory findings. The subject of this study was an 8-month-old Blue Point cat. The cat was brought Animal Hospital with complaints of vomiting 7-8 times a day, anorexia, and lethargy. A physical examination, ultrasonographic examination, and blood analysis were performed. Leukopenia, neutropenia hypokalemia, and hyperlactatemia and metabolic acidosis were diagnosed. Feline Panleukopenia Virus (FPV) antigen test for diagnosis of panleukopenia was also confirmed as positive. Ultrasonographic examination revealed dilatation of the gallbladder and thickening of its wall. There was a decrease in intestinal transport from the proximal part of the duodenum. Fluid electrolyte and supportive treatment was started for panleukopenia. The common bile duct (ductus choledochus) was incised, and a cholecystoenterostomy 1.0 catheter was placed to relieve the obstruction. The duct was sutured with 4/0 multifilament absorbable suture material. The patient was discharged after staying for one week. One week later, the cat was called for a follow-up to remove the sutures. No complications were observed, and the general condition of the patient was found to be good. The prognosis has been monitored for three month, with the patient's condition being assessed through monthly follow-up visits. This case demonstrates that cholecystoenterostomy can be a successful surgical option for the treatment of biliary obstruction in cats when appropriate case selection and careful postoperative monitoring are performed.

Anahtar Kelimeler

• Cat
• Cholecystoenterostomy
• Feline Panleukopenia
• Ultrasonographic examination

Etik Beyan

Selcuk University, Animal Experiments Ethics Committee 02.01.2025,/ E-34804145-020-911009 Number Ethics Committee Decision

Bir Kedide Kolesistoenterostomi Cerrahisi: Olgu Sunumu

Öz

Bu olgu sunumunun amacı, bir kedide safra kanalı tıkanıklığı tanısını takiben gerçekleştirilen kolesistoenterostomi ameliyatının sonuçlarını klinik, ultrasonografik ve laboratuvar bulgularına dayanarak değerlendirmektir. Bu çalışmada 8 aylık Blue Point ırkı bir kedi değerlendirilmiştir. Kedi günde 7-8 kez kusma, iştahsızlık ve uyuşukluk şikayetleriyle Hayvan Hastanesi'ne getirildi. Fiziksel muayene, ultrasonografik muayene ve kan analizi yapıldı. Lökopeni, nötropeni hipokalemi ve hiperlaktatemi ve metabolik asidoz teşhis edildi. Panlökopeni tanısı için yapılan Feline Panleukopenia Virus (FPV) antijen testi de pozitif olarak doğrulandı. Ultrasonografik muayenede safra kesesinde dilatasyon ve duvarında kalınlaşma tespit edildi. Duodenumun proksimal kısmından bağırsak transportunda azalma vardı. Panlökopeni için sıvı elektrolit ve destekleyici tedavi başlandı. Ortak safra kanalı (ductus choledochus) kesildi ve tıkanıklığı gidermek için kolesistoenterostomi 1.0 kateteri yerleştirildi. Kanal 4/0 multifilament emilebilir dikiş materyali ile dikildi. Hasta bir hafta kaldıktan sonra taburcu edildi. Bir hafta sonra dikişlerin alınması için hasta kontrole çağrıldı. Herhangi bir komplikasyon gözlenmedi ve hastanın genel durumu iyi bulundu. Prognoz üç ay boyunca izlendi ve hastanın durumu aylık takip ziyaretleri ile değerlendirildi. Bu olgu, kolesistoenterostominin uygun vaka seçimi ve dikkatli postoperatif takip ile kedilerde safra kanalı tıkanıklığının tedavisinde başarılı bir cerrahi seçenek olabileceğini göstermektedir

Anahtar Kelimeler

• Kedi Panlökopeni
• Kedi
• Kolesistoenterostomi
• Ultrasonografik muayene

Etik Beyan

Selçuk Üniversitesi Hayvan Deneyleri Etik Kurulu 02.01.2025,/ E-34804145-020-911009 Etik Kurulu Karar Numarası

Kaynakça

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