Extrahepatic biliary tract rupture: evaluation of the relationship between the site of rupture and the cause of rupture in 15 dogs.
We performed a retrospective study of 15 cases of extrahepatic biliary tract rupture in dogs. Nine of the 15 dogs had ductal rupture associated with blunt abdominal trauma. The remaining 6 dogs had gallbladder rupture associated with cholelithiasis and/or cholecystitis. The relationship between site of rupture and cause of rupture was significant (p = 0.0002). A review of 60 dogs with extrahepatic biliary tract rupture reported in the veterinary literature revealed a similar relationship (p = 0.0001). Thirty-two of 33 cases of ductal rupture were associated with blunt abdominal trauma and 25 of 27 cases of gallbladder rupture were associated with cholelithiasis and/or cholecystitis. Totals after combining our cases with those from the literature suggests the most frequent area of ductal rupture is the common bile duct distal to the last hepatic duct, followed by the junction of the common bile duct with the duodenum.
Parchman
M B
MB
Department of Clinical Sciences, New York State College of Veterinary Medicine, Cornell University, Ithaca.
Flanders
J A
JA
D000818:Animals; D001652:Bile Ducts / Q000293:injuries; D001659:Biliary Tract / Q000293:injuries*; D002764:Cholecystitis / Q000150:complications / Q000662:veterinary; D002769:Cholelithiasis / Q000150:complications / Q000662:veterinary*; D003135:Common Bile Duct / Q000293:injuries; D003549:Cystic Duct / Q000293:injuries; D004285:Dogs / Q000293:injuries*; D005705:Gallbladder Diseases / Q000209:etiology / Q000662:veterinary*; D012189:Retrospective Studies; D012421:Rupture / Q000662:veterinary; D012422:Rupture, Spontaneous / Q000662:veterinary; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000662:veterinary*