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Case Reports
. 2004 Jun;45(6):507-10.

Challenging diagnosis--icterus associated with a single perforating duodenal ulcer after long-term nonsteroidal antiinflammatory drug administration in a dog

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Case Reports

Challenging diagnosis--icterus associated with a single perforating duodenal ulcer after long-term nonsteroidal antiinflammatory drug administration in a dog

Felix M Duerr et al. Can Vet J. 2004 Jun.

Abstract

A dog developed icterus, vomiting, and anorexia 2 wk after orthopedic surgery and treatment with meloxicam for approximately 1 y. Exploratory laparotomy revealed a single perforated duodenal ulcer. The most likely cause of the hyperbilirubinemia was intrahepatic cholestasis resulting from peritonitis associated with the perforation.

Résumé — Diagnostic contestable — Ictère associé à un ulcère duodénal perforant unique à la suite de l’administration à long terme d’un anti-inflammatoire non stéroïdien chez un chien. Un chien a présenté de l’ictère, des vomissements et de l’anorexie 2 semaines après avoir subit une chirurgie orthopédique et après avoir été traité pendant environ 1 an au méloxicam. Une laparotomie a révélé un ulcère duodénal perforé unique. La cause la plus probable de l’hyperbilirubinémie était une cholestase intrahépatique provoquée par une péritonite associée à la perforation.

(Traduit par Docteur André Blouin)

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Figures

Figure 1
Figure 1
Peritoneal effusion located in the region of the liver.
Figure 2
Figure 2
“Sludge” in the gall bladder.

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References

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