Abstract
Congenital biliary tree malformations are rarely described in the veterinary field. A congenital umbilicobiliary fistula associated with gallbladder agenesis was reported here for the first time in a 1-year-old male French bulldog. After contrast study, abdominal ultrasound, and histopathology, we concluded that the umbilicobiliary fistula was an aberrant duct that originated directly from the expected location of the cystic duct and gallbladder. The clinical case was treated surgically through ligation and excision of the aberrant duct before entering the common bile duct. The recovery and long-term follow-up were uneventful. The pathophysiology of biliary congenital malformations is discussed, along with clinical considerations that should be considered in similar future cases.
References
Ando, H. (2010). Embryology of the biliary tract. Digestive Surgery, 27(2), 87-89. http://dx.doi.org/10.1159/000286463. PMid:20551648.
Aralla, M., Groppetti, D., Caldarini, L., Cremonesi, F., & Arrighi, S. (2013). Morphological evaluation of the placenta and fetal membranes during canine pregnancy from early implantation to term. Research in Vetereinary Science, 95(1), 15-22. http://dx.doi.org/10.1016/j.rvsc.2013.02.003. PMid:23485173.
Center, S. A. (2011). The liver, biliary tract and exocrine pancreas. In M.E. Peterson & M.A. Kutzler (Eds.), Small Animal Pediatrics: The First 12 Months of Life (pp.368-390). Elsevier Saunders. http://dx.doi.org/10.1016/ B978-1-4160-4889-3.00037-1.
Crespi, M., Montecamozzo, G., & Foschi, D. (2016). Diagnosis and treatment of biliary fistulas in the laparoscopic era. Gastroenterology Research and Practice, 2016, 6293538. http://dx.doi.org/10.1155/2016/6293538. PMid:26819608.
Günlemez, A., Tugay, M., Elemen, L., Turker, M., Gurcan, N. I., Demir, H., Gurbuz, Y., & Hosten, T. (2009). Surgical experience in a baby with congenital broncho-biliary fistula. The Annals of Thoracic Surgery, 87(1), 318-320. http://dx.doi.org/10.1016/j.athoracsur.2008.06.028. PMid:19101328.
Kelly, D., Moreno-Aguado, B., & Lamb, V. (2019). Gallbladder agenesis in a dog: clinicopathological, histopathology, and computed tomography findings. Journal of the American Animal Hospital Association, 55(6), e55602. http://dx.doi.org/10.5326/JAAHA-MS-6769. PMid:31525090.
Mohta, A., Upreti, L., & Jagdish, S. (2006). Umbilicobiliary fistula in a neonate. Pediatric Radiology, 36(5), 432-433. http://dx.doi.org/10.1007/s00247-005-0081-2. PMid:16508744.
Peterson, M. E. (2011). The digestive system, In M.E. Peterson & M.A. Kutzler (Eds.), Small Animal Pediatrics: The First 12 Months of Life (pp. 351-367). Elsevier Saunders. http://dx.doi.org/10.1016/B978-1-4160-4889-3.00036-X.
Pillai, S., Center, S. A., McDonough, S. P., Demarco, J., Pintar, J., Henderson, A. K., Cooper, J., Bolton, T., Sharpe, K., Hill, S., Benedict, A. G., & Haviland, R. (2016). Ductal plate malformation in the liver of boxer dogs: Clinical and histological features. Veterinary Pathology, 53(3), 602-613. http://dx.doi.org/10.1177/0300985815610567. PMid:26797094.
Sachdev, A., Chugh, K., Krishana, A., & Gupta, D. (2011). Congenital tracheobiliary fistula: A case report with review of literature. Pediatric Surgery International, 27(8), 899-905. http://dx.doi.org/10.1007/s00383-011-2879-3. PMid:21516501.
Sato, K., Sakai, M., Hayakawa, S., Sakamoto, Y., Kagawa, Y., Kutara, K., Teshima, K., Asano, K., & Watari, T. (2018). Gallbladder agenesis in 17 dogs: 2006–2016. Journal of Veterinary Internal Medicine, 32(1), 188-194. http://dx.doi.org/10.1111/jvim.15034. PMid:29377355.
Sides, A. A., Bright, R. M., & Mortimer, J. (2004). Umbilico‐biliary fistula in a dog. The Journal of Small Animal Practice, 45(10), 504-506. http://dx.doi.org/10.1111/j.1748-5827.2004.tb00196.x. PMid:15515800.
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