RSS-Feed abonnieren
DOI: 10.1055/a-2110-0036
Gallbladder torsion in an 11-month-old Labrador Retriever
Gallenblasentorsion bei einem 11 Monate alten Labrador RetrieverAbstract
An intact male Labrador Retriever was presented with signs of an acute abdomen and generalized weakness. Abdominal ultrasonography revealed a distended, horizontally orientated and caudally displaced gallbladder with a thickened wall. Computed tomography (CT) showed an abrupt tapering of the cystic duct in addition to the displacement of the gallbladder.
On laparotomy a complete gallbladder torsion was diagnosed. After cholecystectomy the dog made a full recovery. Gallbladder torsion should be considered as a rare, potential differential diagnosis in dogs with an acute abdomen.
Zusammenfassung
Ein intakter, männlicher Labrador Retriever wurde vorstellig mit Anzeichen eines akuten Abdomens und generalisierter Schwäche. In der abdominalen Sonografie ließ sich eine vergrößerte, horizontal orientierte und nach caudal verlagerte Gallenblase mit verdickter Wandung darstellen. Zusätzlich zur Verlagerung der Gallenblase konnte in der anschließend durchgeführten Computertomographie eine abrupte Verengung des Ductus cysticus dargestellt werden.
In der folgenden Laparotomie wurde eine komplette Gallenblasentorsion diagnostiziert, nach der durchgeführten Cholezystektomie erholte sich der Patient vollständig.
Eine Gallenblasentorsion sollte als seltene, aber potenziell mögliche Differentialdiagnose bei Hunden mit akutem Abdomen in Erwägung gezogen werden.
Publikationsverlauf
Eingereicht: 22. Mai 2022
Angenommen: 13. Januar 2023
Artikel online veröffentlicht:
11. August 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart,
Germany
-
References
- 1 Corfield G, Read R, Nicholls P. et al. Gall bladder torsion and rupture in a dog. Aust Vet J 2007; 85: 226-231 DOI: 10.1111/j.1751-0813.2007.00142.x.
- 2 Reilly DJ, Kalogeropoulos G, Thiruchelvam D. Torsion of the gallbladder: a systematic review. HPB (Oxford) 2012; 14: 669-672 DOI: 10.1111/j.1477-2574.2012.00513.x.
- 3 Pottorf BJ, Alfaro L, Hollis HW. A clinician’s guide to the diagnosis and management of gallbladder volvulus. Perm J 2013; 17: 80 DOI: 10.7812/TPP/12-118.
- 4 Farhat W, Mabrouk MB, Ammar H. et al. Gallbladder volvulus: A case report and review of the literature. Int J Surg Case Rep 2019; 60: 75-78 DOI: 10.1016/j.ijscr.2019.02.025.
- 5 Skytte D, Schmökel H. Suspected Gallbladder Torsion in a Juvenile German Shepherd Dog. J Am Anim Hosp Assoc 2019; 55: e55603 DOI: 10.5326/JAAHA-MS-6754.
- 6 Nickel R, Schummer A, Seiferle E. Lehrbuch der Anatomie der Haustiere–Band II Eingeweide. Parey-Buchverlag, Berlin 2004; 9 DOI: 10.1055/b-00000181.
- 7 Center SA. Diseases of the gallbladder and biliary tree. Veterinary Clinics: Small Animal Practice 2009; 39: 543-598
- 8 Massari F, Verganti S, Secchiero B. et al. Torsion of quadrate and right middle liver lobes and gallbladder in a German Shepherd dog. Aust Vet J 2012; 90: 44-47
- 9 Tubby KG. Concurrent gall bladder, liver lobe torsion, and bile peritonitis in a German shepherd dog 2 months after gastric dilatation/volvulus gastropexy and splenectomy. Can Vet J 2013; 54: 784
- 10 Wendel A. VI. A case of floating gall-bladder and kidney complicated by cholelithiasis, with perforation of the gall-bladder. Ann Surg 1898; 27: 199
- 11 Kitagawa H, Nakada K, Enami T. et al. Two cases of torsion of the gallbladder diagnosed preoperatively. J Pediatr Surg 1997; 32: 1567-1569 DOI: 10.1016/s0022-3468(97)90454-1.
- 12 Lack EE. Pathology of the pancreas, gallbladder, extrahepatic biliary tract, and ampullary region. New York: Oxford University Press; 2003
- 13 Boonstra EA, van Etten B, Prins TR. et al. Torsion of the gallbladder. J Gastrointest Surg 2012; 16: 882-884 DOI: 10.1007/s11605-011-1712-6.
- 14 Gross RE. Congenital anomalies of the gallbladder: a review of one. hundred and forty-eight cases, with report of a double gallbladder. Arch Surg 1936; 32: 131-162 DOI: 10.1016/0002-9610(69)90156-1.
- 15 Yeh HC, Weiss MF, Gerson CD. Torsion of the gallbladder: the ultrasonographic features. J Clin Ultrasound 1989; 17: 123-125 DOI: 10.1002/jcu.1870170211.
- 16 Koyanagi T, Sato K. Complete gallbladder torsion diagnosed with sequential computed tomography scans: a case report. J Med Case Reports 2012; 6: 1-3 DOI: 10.1186/1752-1947-6-289.
- 17 Dasyam AK, Koo J, Miller MS. et al. The cystic duct knot sign: case report with description of a new ultrasound sign of gallbladder torsion. Emerg Radiol 2015; 22: 445-447 DOI: 10.1007/s10140-015-1331-8.
- 18 Ohkura Y, Hashimoto M, Sasaki K. et al. Complete acute gallbladder torsion diagnosed with abdominal ultrasonography and colour Doppler imaging. BMJ Case Rep 2013; bcr2012008460 DOI: 10.1136/bcr-2012-008460.
- 19 Chou C-T, Chen R-C, Yang AD. et al. Gallbladder torsion: preoperative diagnosis by MDCT. Abdom Imaging 2007; 32: 657-659 DOI: 10.1007/s00261-006-9160-6.
- 20 Layton B, Rudralingam V, Lamb R. Gallbladder volvulus: it’sa small whirl. BJR Case Rep 2016; 20150360 DOI: 10.1259/bjrcr.20150360.
- 21 Bergeron E, Désilets E, Do XV. et al. A case of torsion of the gallbladder suspected with SPECT-CT: review and recommendations. Case Rep Surg 2020; 2020: 8687141 DOI: 10.1155/2020/8687141.
- 22 Nakao A, Matsuda T, Funabiki S. et al. Gallbladder torsion: case report and review of 245 cases reported in the Japanese literature. J Hepatobiliary Pancreat Surg 1999; 6: 418-421 DOI: 10.1007/s005340050143.