Evaluation and Treatment of a Posttraumatic Intrahepatic Biloma in a Dog

Soultani, Christina; Patsikas, M. N.; Mylonakis, Mathios E.; Papazoglou, Lysimachos G.; Papadopoulou, Paraskevi; Papakonstantinou, Pantelis E.; Τziris, N.

doi:10.5326/jaaha-ms-5710

Cited by 2 publications

(12 citation statements)

References 10 publications

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“…In this case, the ultrasonographic examination revealed several anechoic lesions in the liver and near the gall bladder. 1 The ultrasonography was useful in demonstrating the lesions. However, aspiration and analysis of the fluid were necessary to confirm the diagnosis of biloma.…”

Section: Discussionmentioning

confidence: 99%

“…Bilomas are well-demarcated, encapsulated or not, extra or intrahepatic collections of bile that result secondary to rupture of the biliary tree, which can be spontaneous, traumatic or iatrogenic following surgery or interventional procedures. 1 It is a rare condition, and little information is available in veterinary medicine. 2 The objective of this report is to describe a case of traumatic bilomas associated with previous polytrauma due to a dog bite.…”

Section: Introductionmentioning

confidence: 99%

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Bilomas in a dog secondary to a bite injury

Pujante,

Mena,

Carrillo

et al. 2024

Vet Record Case Reports

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An entire, Pomeranian, female dog was presented to the emergency unit with anorexia, fever, abdominal pain, jaundice and an inguinal hernia. The patient had been bitten by a dog 2 weeks earlier and was on antibiotics and non‐steroidal anti‐inflammatory drug without improvement. Ultrasonographic exam showed peritoneal effusion and hepatic cystic lesions. Fluid analysis was compatible with bile. Bilomas and an inguinal hernia were diagnosed. Computed tomography scan did not reveal the origin of the bilomas. Ultrasound‐guided drainage of the bilomas resulted in a slight improvement. The patient worsened, and an exploratory laparotomy was recommended. The owner declined the surgery due to a guarded prognosis and the dog was humanely euthanased. On postmortem examination, a small laceration of the common bile duct was observed, which was probably the cause of the biliary peritonitis. To the authors’ knowledge, this report represents the first description of intrahepatic bilomas secondary to a bite injury.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bilomas in a dog secondary to a bite injury

Pujante,

Mena,

Carrillo

et al. 2024

Vet Record Case Reports

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“…A few reports have been available on bilomas in veterinary medicine, including three dogs and one cat with biloma. In one dog, biloma developed after surgical treatment of intrahepatic portosystemic shunt ( 7 ), whereas in the other dog, biloma was associated with trauma (hit by a car) ( 10 ). Moreover, biloma in a cat developed after open liver biopsy ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

“…The most common therapeutic approach in human patients with bilomas is percutaneous drainage ( 3 , 4 ). Studies in veterinary medicine involving two dogs with bilomas who underwent percutaneous drainage showed that both dogs had good outcomes without such a surgical approach for biloma ( 8 , 10 ). However, the current dog with biloma had been managed with supportive therapy and cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Iatrogenic damage to the biliary tract is commonly associated with laparoscopic cholecystectomy ( 6 ). Bilomas in veterinary medicine has been described to be developed after surgery of intrahepatic portosystemic shunt ( 7 ), cholecystectomy ( 8 ), and open liver biopsy ( 9 ) and associated with trauma ( 10 ). It is important for diagnosis and therapeutic approaches to identify the site of bile leakage.…”

Section: Introductionmentioning

confidence: 99%

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Case Report: Usefulness of Drip Infusion Cholangiography With Computed Tomography for the Diagnosis of Biloma in a Dog

et al. 2022

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Bilomas are encapsulated collections of bile outside or inside the biliary tract within the abdominal cavity. For diagnostic and therapeutic approaches, it is important to identify the origin of bile leaks from the biliary tract. This case report describes the usefulness of drip infusion cholangiography with computed tomography (DIC-CT) for detecting the site of bile leakage in a dog with biloma. A 10-year-old, castrated male Pomeranian dog was referred to our department for gastrointestinal signs. Abdominal ultrasonography detected gallbladder mucocele without evidence of defect on the wall and well-defined anechoic localized fluid accumulation around the right division of the liver. On the other hand, there was only a small amount of ascites in the abdominal cavity. The accumulated fluid collected through abdominocentesis had a bilirubin concentration of 11.4 mg/dl, which was more than twice as high as that in serum (0.4 mg/dl), but had absence of pyogenic bacteria. The DIC-CT with meglumine iotroxate showed two well-defined large fluid collections: one between right medial and lateral lobe and the other between the right lateral lobe and caudate process of caudate lobe. Three-dimensional DIC-CT views that the former was enhanced by the contrast agent and that it communicated with an intrahepatic bile duct of the right lateral lobe. Moreover, the DIC-CT images confirmed communication with each fluid collections. After 6 days of hospitalization, a decrease in the amount of accumulated fluid was confirmed, after which cholecystectomy was performed. The dog was discharged from the hospital without complications. No signs of bile leakage were observed on follow-up imaging on postoperative day 10. According to authors knowledge, this has been the first report to show that DIC-CT can be useful for determining the origin of bile leakage in dogs with bilomas.

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Evaluation and Treatment of a Posttraumatic Intrahepatic Biloma in a Dog

Cited by 2 publications

References 10 publications

Bilomas in a dog secondary to a bite injury

Bilomas in a dog secondary to a bite injury

Case Report: Usefulness of Drip Infusion Cholangiography With Computed Tomography for the Diagnosis of Biloma in a Dog

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