Ward Patricia M, Brown Kieran, Hammond Gawain, Parkin Tim, Bouyssou Sarah, Coia Mark, Nurra Genziana, Ridyard Alison E
From Small Animal Hospital (P.M.W., K.B., G.H., S.B., M.C., G.N., A.E.R.) and Weipers Centre Equine Hospital (T.P.), University of Glasgow, Glasgow, United Kingdom.
J Am Anim Hosp Assoc. 2020 May/Jun;56(3):152. doi: 10.5326/JAAHA-MS-7000. Epub 2020 Mar 17.
Canine cholelithiasis is considered to be an uncommon condition and is frequently cited as being an incidental finding. However, there is a paucity of contemporary literature to support these assertions. The aim of this retrospective cross-sectional study was to report the prevalence, clinical presentation, and long-term follow-up of cholelithiasis in dogs. The electronic database at the Small Animal Hospital, University of Glasgow was searched to identify dogs that were diagnosed with cholelithiasis on ultrasound between 2010 and 2018. Sixty-eight dogs were identified, giving an overall prevalence of cholelithiasis in our hospital of 0.97% (confidence interval 0.76-1.22%). Medical records of 61 dogs were available for review. Cholelithiasis was classified as an incidental finding in 53 (86.9%) dogs, with 8 (13.1%) dogs being classified as symptomatic, having complications of cholelithiasis that included biliary duct obstruction, biliary peritonitis, emphysematous cholecystitis, and acute cholecystitis. Follow-up was available for 39 dogs, with only 3 dogs (7.7%) developing complications attributed to cholelithiasis, including biliary duct obstruction and acute cholecystitis, within the subsequent 2 yr. Cholelithiasis is an uncommon but frequently incidental finding in dogs. Within the follow-up period, few of the dogs with incidental cholelithiasis went on to be become symptomatic.
犬胆结石被认为是一种罕见病症,常被引述为偶然发现。然而,目前缺乏当代文献来支持这些说法。这项回顾性横断面研究的目的是报告犬胆结石的患病率、临床表现及长期随访情况。检索了格拉斯哥大学小动物医院的电子数据库,以确定2010年至2018年间经超声诊断为胆结石的犬只。共识别出68只犬,我院胆结石的总体患病率为0.97%(置信区间0.76 - 1.22%)。有61只犬的病历可供审查。胆结石在53只(86.9%)犬中被归类为偶然发现,8只(13.1%)犬被归类为有症状,患有胆结石并发症,包括胆管阻塞、胆汁性腹膜炎、气肿性胆囊炎和急性胆囊炎。对39只犬进行了随访,在随后的2年里,只有3只犬(7.7%)出现了归因于胆结石的并发症,包括胆管阻塞和急性胆囊炎。胆结石在犬中是一种罕见但常为偶然发现的病症。在随访期间,很少有偶然发现胆结石的犬会出现症状。