The purpose of this case report was to describe the surgical correction of a cholecystocutaneous fistula in a dog. A 6 yr old vizsla presented with a 2 mo history of a chronic draining wound on the right ventral thorax. Diagnostics revealed numerous fistulous tracts opening at a single site on the right ventrolateral chest wall, extending caudodorsally through the chest wall and diaphragm to the region of the right medial liver lobe. Exploratory laparotomy revealed the apex of the gallbladder adhered to the diaphragm with a tract of fibrous tissue extending along the diaphragm laterally to the right thoracic wall. Cholecystectomy was performed. The fistulous tract was incised to expose the lumen of the fistula, and the fistula was omentalized. Twenty-eight months after surgery, the dog had had no recurrence of the fistulous tract. Exploratory laparotomy allowed excellent visualization of the intra-abdominal path of the fistula and facilitated the ease of resection of the source. Cholecystectomy resulted in rapid and complete resolution of the fistula without the need for excision of the fistula. Although rare, gallbladder disease should be a differential for chronic fistulous tracts.
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January/February 2012
Case Reports|
January 01 2012
Spontaneous Cholecystocutaneous Fistula in a Dog
Shelly A. Marquardt, DVM;
Shelly A. Marquardt, DVM
Department of Veterinary Clinical Sciences, Oklahoma State University Center for Veterinary Health Sciences, Stillwater, OK.
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Mark C. Rochat, DVM, MS, DACVS;
Department of Veterinary Clinical Sciences, Oklahoma State University Center for Veterinary Health Sciences, Stillwater, OK.
Correspondence: [email protected] (M.R.)
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Jennifer L. Johnson-Neitman, DVM, DACVR
Jennifer L. Johnson-Neitman, DVM, DACVR
*
Department of Veterinary Clinical Sciences, Oklahoma State University Center for Veterinary Health Sciences, Stillwater, OK.
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J Am Anim Hosp Assoc (2012) 48 (1): 43–49.
Citation
Shelly A. Marquardt, Mark C. Rochat, Jennifer L. Johnson-Neitman; Spontaneous Cholecystocutaneous Fistula in a Dog. J Am Anim Hosp Assoc 1 January 2012; 48 (1): 43–49. doi: https://doi.org/10.5326/JAAHA-MS-715
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