Ultrasound‐guided percutaneous choledochocentesis in a cat with cholelithiasis, choledocholithiasis and cholangitis due to Klebsiella pneumoniae

IF 0.3 Q4 VETERINARY SCIENCES

Veterinary Record Case Reports Pub Date : 2024-06-25 DOI:10.1002/vrc2.905

Larissa Vahia Malliagros, Camila de Oliveira Ferreira Mendes, Ayla Cerqueira Aleluia dos Santos, André Luis de Souza Teixeira, Márcia Carolina Salomão Santos

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引用次数: 0

Abstract

A 13‐year‐old female cat was presented at our Veterinary Teaching Hospital with hyporexia and prostration. The animal underwent cholecystectomy 2 months previously due to partial biliary obstruction resulting from cholecystitis, multiple cholelithiasis, choledocholithiasis, dilation and tortuosity of the bile ducts. Due to the impossibility of puncturing the gall bladder and the persistence of dilation and tortuosity of the extra‐ and intrahepatic ducts identified by ultrasound, a dilated intrabiliary duct was punctured. The objective of the present study was to report the ultrasound‐guided percutaneous choledochocentesis technique, which, to our knowledge, is the first report of its performance in cats. The material was obtained for bile culture and antibiogram, which identified the bacterium Klebsiella pneumoniae, which was multiresistant to most antibiotics and uncommon in the biliary system. The technique was performed uneventfully, and was essential in the present report to assist in the presumptive diagnosis and treatment of cholangitis associated with cholelithiasis and choledocholithiasis.

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超声引导下经皮胆道穿刺术治疗因肺炎克雷伯菌引起的胆石症、胆总管结石症和胆管炎的猫咪

我们的兽医教学医院接诊了一只 13 岁的雌性猫咪，它出现了厌食和虚弱的症状。2 个月前，该动物因胆囊炎、多发性胆石症、胆总管扩张和迂曲导致部分胆道梗阻而接受了胆囊切除术。由于无法穿刺胆囊，且超声检查发现肝内外胆管持续扩张和迂曲，因此对扩张的胆管进行了穿刺。本研究的目的是报告超声引导下经皮胆管穿刺技术，据我们所知，这是在猫科动物中首次报告该技术的应用情况。获得的材料进行了胆汁培养和抗生素检查，结果发现了肺炎克雷伯氏菌，该菌对大多数抗生素具有多重耐药性，在胆道系统中并不常见。该技术的实施并不顺利，在本报告中对胆管炎伴胆石症和胆总管结石的推定诊断和治疗起到了至关重要的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Record Case Reports Veterinary-Veterinary (all)

CiteScore

0.50

自引率

33.30%

发文量

266

期刊介绍： Vet Record Case Reports is an online resource that publishes articles in all fields of veterinary medicine and surgery so that veterinary professionals, researchers and others can easily find important information on both common and rare conditions. Articles may be about a single animal, herd, flock or other group of animals managed together. Common cases that present a diagnostic, ethical or management challenge, or that highlight aspects of mechanisms of injury, pharmacology or histopathology are deemed of particular educational value. All articles are peer reviewed and copy edited before publication.