Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten

A 5-month-old Siamese cross kitten was presented with jaundice and a palpable abdominal mass at the right cranial quadrant. The extra-hepatic biliary system was markedly distended upon abdominal ultrasonography. Complete bile duct obstruction was ruled out due to the presence of urobilinogen, light...

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Main Authors: Yiew, Xiu Ting, Watanabe, Malaika, Leong, Zi Ping, Rahman, N., Mohamed Mustapha, Noordin, Khor, Kuan Hua
Format: Article
Language:English
Published: Veterinary Association Malaysia 2016
Online Access:http://psasir.upm.edu.my/id/eprint/50396/1/2016-Issue-1-Yiew.pdf
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author Yiew, Xiu Ting
Watanabe, Malaika
Leong, Zi Ping
Rahman, N.
Mohamed Mustapha, Noordin
Khor, Kuan Hua
author_facet Yiew, Xiu Ting
Watanabe, Malaika
Leong, Zi Ping
Rahman, N.
Mohamed Mustapha, Noordin
Khor, Kuan Hua
author_sort Yiew, Xiu Ting
collection UPM
description A 5-month-old Siamese cross kitten was presented with jaundice and a palpable abdominal mass at the right cranial quadrant. The extra-hepatic biliary system was markedly distended upon abdominal ultrasonography. Complete bile duct obstruction was ruled out due to the presence of urobilinogen, light brown stool, and consistently normal alkaline phosphatase (ALP) levels. Head tremors developed on the second day of hospitalization. Tentative diagnoses of congenital biliary anomaly and hepatic encephalopathy were derived and exploratory laparotomy revealed a severely distended and tortuous bile duct indistinguishable from the gallbladder with negative duodenal filling. Modified cholechoduodenostomy was performed however the kitten did not recover from general anaesthesia. Secondary cholangiohepatitis and hepatic encephalopathy were confirmed upon histopathologic examination.Primary congenital biliary atresia or choledochal cyst with secondary cholangiohepatitis was suspected. Biliary anomalies are rare in cats with only two cases reported in the literature. These conditions are often challenging to diagnose and due to the limited treatment options, have a poor prognosis.
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spelling upm.eprints-503962017-02-28T05:37:46Z http://psasir.upm.edu.my/id/eprint/50396/ Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten Yiew, Xiu Ting Watanabe, Malaika Leong, Zi Ping Rahman, N. Mohamed Mustapha, Noordin Khor, Kuan Hua A 5-month-old Siamese cross kitten was presented with jaundice and a palpable abdominal mass at the right cranial quadrant. The extra-hepatic biliary system was markedly distended upon abdominal ultrasonography. Complete bile duct obstruction was ruled out due to the presence of urobilinogen, light brown stool, and consistently normal alkaline phosphatase (ALP) levels. Head tremors developed on the second day of hospitalization. Tentative diagnoses of congenital biliary anomaly and hepatic encephalopathy were derived and exploratory laparotomy revealed a severely distended and tortuous bile duct indistinguishable from the gallbladder with negative duodenal filling. Modified cholechoduodenostomy was performed however the kitten did not recover from general anaesthesia. Secondary cholangiohepatitis and hepatic encephalopathy were confirmed upon histopathologic examination.Primary congenital biliary atresia or choledochal cyst with secondary cholangiohepatitis was suspected. Biliary anomalies are rare in cats with only two cases reported in the literature. These conditions are often challenging to diagnose and due to the limited treatment options, have a poor prognosis. Veterinary Association Malaysia 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/50396/1/2016-Issue-1-Yiew.pdf Yiew, Xiu Ting and Watanabe, Malaika and Leong, Zi Ping and Rahman, N. and Mohamed Mustapha, Noordin and Khor, Kuan Hua (2016) Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten. Jurnal Veterinar Malaysia, 28 (1). pp. 7-11. ISSN 9128-2506 http://jvm.vam.org.my/wp-content/uploads/2016/10/2016-Issue-1-Yiew.pdf
spellingShingle Yiew, Xiu Ting
Watanabe, Malaika
Leong, Zi Ping
Rahman, N.
Mohamed Mustapha, Noordin
Khor, Kuan Hua
Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten
title Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten
title_full Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten
title_fullStr Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten
title_full_unstemmed Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten
title_short Congenital biliary anomaly with secondary cholangiohepatitis in a Siamese cross kitten
title_sort congenital biliary anomaly with secondary cholangiohepatitis in a siamese cross kitten
url http://psasir.upm.edu.my/id/eprint/50396/1/2016-Issue-1-Yiew.pdf
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