Diagnosis and treatment of gall bladder mucocele in dog

Abstract

The gallbladder mucocele (GBM) is characterized by abnormal accumulation of semisolid bile in the gallbladder. This case repor is about a female dog, Yorkshire, attended on a private Veterinary Hospital (Serviço Médico Veterinário – SEMEVE). The dog had vomiting, anorexia, prostration and tremors that started on the day of the appointment. During the anamnesis, the tutor reported that the patient had been diagnosed with dyslipidemia three years before, however, endocrine disorders were ruled out as the cause of the condition. At the physical examination, the animal presented sensitivity to abdominal palpation and mild sclera jaundice. During the abdominal ultrasound it was diagnosed gallbladder mucocele, through echogenicity and the pattern presented by the bile associated with the clinical history of the animal. The initial treatment was with antibiotic therapy, fluid therapy supplemented with vitamin B and potassium, analgesic, antiemetic and gastric protector. Due to the worsening of the dog seen in the exams, 48 hours after admission, cholecystectomy was performed. In the transurgical procedure, omentum adherence to the gallbladder and fluid around it was identified. Culture with bile antibiogram was performed and allopathic therapy was maintained. The histopathology of the gallbladder showed acute suppurated cholecystitis. The culture isolated the bacterium Sthapylococcus intermedius. After 60 days of the surgery, the animal was clinically healthy and the tests for control showed complete resolution of the changes, so it was given medical discharge.