ACUTE CHOLANGITIS IN DOGS (CLINICAL CASE)

Authors

  • О. Shuleshko DNIPRO STATE AGRARIAN AND ECONOMIC UNIVERSITY
  • L. Zhorina DNIPRO STATE AGRARIAN AND ECONOMIC UNIVERSITY
  • A. Oliyar DNIPRO STATE AGRARIAN AND ECONOMIC UNIVERSITY
  • M. Shuleshko DNIPRO STATE AGRARIAN AND ECONOMIC UNIVERSITY

DOI:

https://doi.org/10.37000/abbsl.2023.107.04

Keywords:

liver, biliary tract, inflammation, antispasmodics, dog

Abstract

A clinical case of acute cholangitis in a 5.9-year-old Rottweiler female was investigated. It has been established that a comprehensive examination is necessary for the final diagnosis of diseases of the gastrointestinal tract. Effective treatment of acute cholangitis in dogs is possible only with the use of high-quality analgesia with the help of antispasmodics with the simultaneous use of symptomatic therapy. After taking an anamnesis, a clinical examination was conducted, on the basis of which the dog's condition was recognized as severe with a preliminary diagnosis of intestinal obstruction and the presence of a foreign body in the alimentary canal. For its clarification, additional examinations are prescribed: general and biochemical blood analysis, urinalysis, examination of fecal masses, ultrasound diagnosis of abdominal organs, x-ray examination of the intestine in dynamics using barium sulfate, diagnostic laparotomy. After carrying out a comprehensive examination of the sick dog and receiving the results, the final diagnosis was established - acute cholangitis  At the stage of treatment of the disease, taking into account the condition and body weight, the animal is prescribed antispasmodics, antiemetics, choleretics and diuretics, antibiotics and intensive infusion therapy. Special attention is paid to alleviating parenteral pain by almost round-the-clock infusion of lidocaine solution, which is important for diseases of the gastrointestinal tract associated with inflammatory and spasmodic processes. The use of analgesics in such cases alleviates the animal's suffering, reduces psychological trauma, stress and negative emotions it experiences during illness, manipulations and being in the inpatient conditions of a veterinary clinic. After the treatment, the dog was discharged in a satisfactory condition, the owners received recommendations to feed the animal with dietary feed used for liver diseases for a month.

References

Assawarachan, S.N., Yodsheewan, R., Maneesaay, Ph., Rattanapinyopituk, K., Chuchalermporn, P., Kongchun, A., Hakhen, B., & Sattasathuchana, P. (2022). Feline Cyst-like Lymphocytic Cholangiohepatitis in a Cat: First Case Report. Animals (Basel), 12(23), 3278. https://doi.org/10.3390/ani12233278

Bishop, M.A., Xenoulis, P.G., Levinski, M.D., Suchodolski, J.S., & Steiner J.M. (2010). Identification of variants of the SPINK1 gene and their association with pancreatitis in Miniature Schnauzers. Am J. Vet. Res., 71(5), 527-533.https://doi:10.2460/ajvr.71.5.527

Boland, L., & Beatty, J. (2017). Feline Cholangitis. Vet. Clin. North. Am. Small. Anim. Pract., 47(3), 703-724. https://doi.org/10.1016/j.cvsm.2016.11.015

Center, S.A., ManWarren, T., Slater, M.R., & Wilentz, E. (1991). Evaluation of twelve-hour preprandial and two-hour postprandial serum bile acids concentrations for diagnosis of hepatobiliary disease in dogs. J. Am Vet. Med. Assoc., 199(2), 217-26.

Chapman, S.E., & Hostutler, R.A. (2013). A laboratory diagnostic approach to hepatobiliary disease in small animals. Vet. Clin. North Am Small Anim. Pract., 43(6), 1209-1225. https://doi.org/10.1016/j.cvsm.2013.07.005

Cullen, J.M. (2009). Summary of the World Small Animal Veterinary Association standardization committee guide to classification of liver disease in dogs and cats. Vet. Clin. North Am Small Anim. Pract., 39(3), 395-418.https://doi.org/10.1016/j.cvsm.2009.02.003

Devriendt, N., Serrano, G., Stock, E., Paepe, D., & Rooster, H. (2022). Diagnostic value of liver function tests and ultrasonography in dogs with suspected congenital portosystemic shunts. Vet. Rec., 190(10).https://doi.org/10.1002/vetr.1381

Dircks, B., Nolte, I., & Mischke, R. (2012). Haemostatic abnormalities in cats with naturally occurring liver diseases. Vet. J., 193(1), 103-108.https://doi.org/10.1016/j.tvjl.2011.09.026

Dirksen, K., Burgener, I.A., Rothuizen, J., Ingh, T.S.G.A.M., Penning, L.C., Spee, B., & Fieten, H. (2017). Sensitivity and Specificity of Plasma ALT, ALP, and Bile Acids for Hepatitis in Labrador Retrievers. J. Vet. Intern. Med., 31(4), 1017-1027. https://doi.org/10.1111/jvim.14716

French, J.M., Twedt, D.C., Rao, S., & Marolf, A.J. (2019). Computed tomographic angiography and ultrasonography in the diagnosis and evaluation of acute pancreatitis in dogs. J. Vet. Intern. Med., 33(1), 79-88.https://doi.org/10.1111/jvim.15364

Haworth, M.D., Hosgood, G., Swindells, K.L., & Mansfield, C.S. (2014). Diagnostic accuracy of the SNAP and Spec canine pancreatic lipase tests for pancreatitis in dogs presenting with clinical signs of acute abdominal disease. J. Vet. Emerg. Crit. Care (San Antonio), 24(2), 135-143. https://doi.org/10.1111/vec.12158

Jaffey, J.A. (2022). Feline cholangitis/cholangiohepatitis complex. J. Small. Anim. Pract., 63(8), 573-589. https://doi.org/10.1111/jsap.13508

Kearns, S. (2009). Infectious hepatopathies in dogs and cats. Top. Companion Anim. Med., 24(4), 189-198. https://doi.org/10.1053/j.tcam.2009.06.004

Khmelnytskyi, G., Khomenko, V., & Kanyuka, O. (2008). Veterynarna farmakolohiia [Veterinary pharmacology]. PARITET, Kharkiv (in Ukrainian).

Kilpatrick, S., Dreistadt, M., Frowde, P., Powell, R., Milne, E., Smith, S., Morrison, L., Gow , A.G., Handel, I., & Mellanby, R.J. (2016). Presence of Systemic Inflammatory Response Syndrome Predicts a Poor Clinical Outcome in Dogs with a Primary Hepatitis. PLoS One, 11(1). https://DOI:10.1371/journal.pone.0146560

Konstantinidis, A.O., Patsikas, M.N., Papazoglou, L.G., & Adamama-Moraitou, K.K. (2023). Congenital Portosystemic Shunts in Dogs and Cats: Classification, Pathophysiology, Clinical Presentation and Diagnosis. Vet. Sci., 10(2), 160. https:// doi.org/10.3390/vetsci10020160

Lawrence, Yu.A., & Steiner, J.M. (2017). Laboratory Evaluation of the Liver. Vet. Clin. North Am Small Anim. Pract., 47(3), 539-553.https://doi.org/10.1016/j.cvsm.2016.11.005

Liu, Z., Suo, C., Jiang, Ya., Zhao, R., Zhang, T., Jin, L., & Chen, X. (2022). Phenome-Wide Association Analysis Reveals Novel Links Between Genetically Determined Levels of Liver Enzymes and Disease Phenotypes. Phenomics., 2(5), 295-311. https://doi.org/10.1007/s43657-021-00033-y

Lokes, P., Stovba, V., & Karysheva, L. (2007). Ultrazvukova diahnostyka khvorob dribnykh tvaryn [Ultrasound diagnosis of diseases of small animals]. FOP Govorov S.V., Poltava (in Ukrainian).

Neilson-Carley, S.C., Robertson, J.E., Newman, S.J., Kutchmarick, D., Relford, R., Woosley, K., Steiner, J.M. (2011). Specificity of a canine pancreas-specific lipase assay for diagnosing pancreatitis in dogs without clinical or histologic evidence of the disease. Am. J. Vet. Res., 72(3), 302-307.https://doi.org/10.2460/ajvr.72.3.302

Pashmakova, M.B., Piccione, J., Bishop, M.A., Nelson, W.R., & Lawhon, S.D. (2017). Agreement between microscopic examination and bacterial culture of bile samples for detection of bactibilia in dogs and cats with hepatobiliary disease. J. Am Vet. Med. Assoc., 250(9), 1007-1013. https://doi.org/10.2460/javma.250.9.1007

Poldervaart, J.H., Favier, R.P., Penning, L.C., Ingh, T.S.G.A.M., & Rothuizen, J. (2009). Primary hepatitis in dogs: a retrospective review (2002-2006). J. Vet. Intern. Med., 23(1), 72-80. https://doi.org/10.1111/j.1939-1676.2008.0215.x

Prins, M., Schellens, C.J., Leeuwen, M.W., Rothuizen, J., & Teske, E. (2010). Coagulation disorders in dogs with hepatic disease. Vet. J., 185(2), 163-168. https://doi.org/10.1016/j.tvjl.2009.05.009

Silva, C.B., Hermans, M., Ruiz-Suárez, N., Verdoodt, F., Mareyam Bhatti, S.F., & Hesta, M. (2023). Long-term nutritional management of an obese German Spitz with paroxysmal dyskinesia, calcium oxalate urolithiasis, and suspected pancreatitis-A case report. Front. Vet. Sci., 10.https://doi.org/10.3389/fvets.2023.1054251

Weiss, D.J., Armstrong, P.J., & Gagne, J. (1997). Inflammatory liver disease. Semin. Vet. Med. Surg. Small Anim., 12(1), 22-27.https://doi.org/10.1016/s1096-2867(97)80040-0

Xenoulis, P.G. (2015). Diagnosis of pancreatitis in dogs and cats. J. Small Anim. Pract., 56(1), 13-26. https://doi.org/10.1111/jsap.12274

Published

2023-08-14

How to Cite

Шулешко, О., Жоріна, Л., Oліяр A., & Шулешко M. (2023). ACUTE CHOLANGITIS IN DOGS (CLINICAL CASE). Agrarian Bulletin of the Black Sea Littoral, (107). https://doi.org/10.37000/abbsl.2023.107.04