Imaging diagnosis: biliopleural fistula in a dog.
A 3-year-old intact male Brittany Spaniel was admitted for thoracic gunshot wounds. Despite continued supportive care, the dog's condition deteriorated. Thoracic/abdominal ultrasound revealed a biliopleural fistula. Following fistula repair, the dog made a complete recovery. This case represented a diagnostic challenge because of the uncommon clinical presentation of a severe bile pleuritis in the absence of significant bile peritonitis. Biliopleural fistula is a rare condition but should be considered as a differential diagnosis in trauma patients with pleural effusion, especially those with penetrating thoracic injuries. Ultrasonography can be used to diagnose this disorder preoperatively.
Davis
Kechia M
KM
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.
Spaulding
Kathy A
KA
D000818:Animals; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology / Q000662:veterinary*; D003937:Diagnosis, Differential; D004283:Dog Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D004285:Dogs / Q000293:injuries*; D005704:Gallbladder / Q000293:injuries; D055370:Lung Injury; D008297:Male; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology / Q000662:veterinary; D011859:Radiography; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000209:etiology / Q000662:veterinary*; D014463:Ultrasonography; D014948:Wounds, Gunshot / Q000150:complications / Q000662:veterinary*