Clinical management of cholecystitis in cats and dogs


KIRMIZIGÜL A. H. , KALINBACAK A., ATALAY Ö., Karakurum M. Ç.

INDIAN VETERINARY JOURNAL, cilt.82, ss.1308-1310, 2005 (SCI İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 82 Konu: 12
  • Basım Tarihi: 2005
  • Dergi Adı: INDIAN VETERINARY JOURNAL
  • Sayfa Sayıları: ss.1308-1310

Özet

Cholecystitis, defined as an inflammation of the gallbladder, is often accompanied by choledochitis, cholangitis or cholangiohepatitis (Tilley and Smith, 1997). Clinically, while the most frequently encountered symptoms are anorexia, fever, vomiting, abdominal pain, diarrhoea, jaundice and shock, the laboratory findings include leukocytosis and neutrophilia, and varying degree of hyperbilirubinemia, elevations in the ALT, AST, GGT and ALP enzyme levels depending on whether the bile ducts are patent or not, and hypoproteinemia and azotemia (Center, 1996; Tilley and Smith loc. cit.; Seker et at, 1996). Normally, the gallbladder wall is seen as a stripe of poor echogenicity under ultrasonography. However, the wall may appear as a double circle due to inflammation and edema. In its medical management, correction of the fluid and electrolyte balance, vitamin (especially provision of vitamin K in coagulopathic states) and the use of wide spectrum antibiotics (Amoxicillin, Cefalosporins, enrofloxacin) are recommended (Fossum and Willard, 1995). In this study, evaluation of the clinical, laboratory and ultrasonographical findings of cholecystitis found in cases between the year's of 1997 and 2003 and its treatment are presented.