Yoshida Tomohiko, Murakami Leo, Uemura Akiko, Sano Tadashi, Iwasaki Ryota, Shimada Kazumi, Hamabe Lina, Tanaka Ryou
Department of Clinical Veterinary Medicine, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Japan.
Department of Veterinary Surgery, Faculty of Veterinary Medicine, Tokyo University of Agriculture and Technology, Fuchu, Tokyo, Japan.
JFMS Open Rep. 2025 Jun 25;11(1):20551169251337853. doi: 10.1177/20551169251337853. eCollection 2025 Jan-Jun.
An 8-year-old castrated male mixed-breed cat was presented with recurrent vomiting, weight loss and abdominal distension. Blood work revealed hyperbilirubinaemia and elevated liver enzyme activities. Abdominal ultrasound and CT showed marked dilation and obstruction of the common bile duct (CBD) due to chronic cholecystitis and cholangiohepatitis. The cat was diagnosed with CBD obstruction secondary to chronic cholecystitis and cholangiohepatitis and was initially treated with antibiotics and prednisolone. Surgical intervention was performed because of complete CBD obstruction and worsening icterus that was unresponsive to medical management. A choledochoduodenostomy was performed using a simple side-to-side anastomosis between the CBD and the duodenum. The patient recovered uneventfully after surgery without significant complications. At the last follow-up, 6 months postoperatively, the cat remained clinically stable.
There is limited information on choledochoduodenostomy in cats. This is the first veterinary report describing a simple side-to-side anastomosis between the CBD and the duodenum to resolve severe extrahepatic biliary obstruction secondary to chronic cholangitis and cholecystitis. As a result of the dilation and thickening of the CBD wall, this technique was feasible. This case study lacks information on long-term prognosis and continued monitoring is important.
一只8岁去势的雄性混血猫出现反复呕吐、体重减轻和腹部膨隆。血液检查显示高胆红素血症和肝酶活性升高。腹部超声和CT显示由于慢性胆囊炎和胆管肝炎导致胆总管（CBD）明显扩张和梗阻。这只猫被诊断为继发于慢性胆囊炎和胆管肝炎的CBD梗阻，最初接受抗生素和泼尼松龙治疗。由于CBD完全梗阻且黄疸加重，药物治疗无效，因此进行了手术干预。采用CBD与十二指肠之间简单的侧侧吻合术进行胆总管十二指肠吻合术。术后患者恢复顺利，无明显并发症。在术后6个月的最后一次随访中，这只猫临床状况保持稳定。
关于猫的胆总管十二指肠吻合术的信息有限。这是第一份兽医报告，描述了CBD与十二指肠之间简单的侧侧吻合术，以解决继发于慢性胆管炎和胆囊炎的严重肝外胆管梗阻。由于CBD壁的扩张和增厚，该技术是可行的。本病例研究缺乏长期预后信息，持续监测很重要。
