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Gallbladder atrophy associated with pancreatitis: Clinical and advanced imaging diagnosis in a dogopen access

Authors
Han, DonghyunJung, Dong-In
Issue Date
Dec-2023
Publisher
CZECH ACADEMY AGRICULTURAL SCIENCES
Keywords
cholecystitis; cholelithiasis; computed tomography; gastroinetstinal symptom; nodule
Citation
VETERINARNI MEDICINA, v.68, no.11, pp 435 - 442
Pages
8
Indexed
SCIE
SCOPUS
Journal Title
VETERINARNI MEDICINA
Volume
68
Number
11
Start Page
435
End Page
442
URI
https://scholarworks.gnu.ac.kr/handle/sw.gnu/69205
DOI
10.17221/76/2023-VETMED
ISSN
0375-8427
1805-9392
Abstract
Gallbladder atrophy (GBA) is characterised by a reduction in the size and volume of the gallbladder. In human medicine, it is well-established that GBA frequently occurs together with pathologies affecting the gallbladder and pancreas. However, to the best of our knowledge, there is currently a dearth of reported cases of GBA in dogs within the veterinary field. In this study, we present a case report of GBA in a 7-year-old Yorkshire Terrier. The diagnosis of GBA was confirmed using abdominal ultrasonography and advanced imaging techniques, including computed tomography, which were performed over a 4-year period. The patient initially presented with predominantly gastrointestinal symptoms, which were subsequently diagnosed and treated as pancreatitis. Concurrently, a gallbladder nodule and an anomalous structure suspected to be cholelithiasis were identified. However, during the 4-year follow-up, the gallbladder structure regressed, leaving only the presence of the gallbladder nodule. Notably, cholecystectomy was not performed, and apart from pancreatitis-related symptoms, the patient did not show any gallbladder-related problems throughout the spontaneous atrophic process. Based on these findings, we propose that the observed GBA was likely induced by cholecystitis associated with pancreatitis. This case underscores the significance of considering GBA as a potential diagnosis in canine patients presenting with pancreatitis and gastrointestinal symptoms. Furthermore, it highlights the value of comprehensive diagnostic imaging in accurately determining the underlying cause of these symptoms.
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