Surgical treatment of bile peritonitis in 24 dogs and 2 cats: a retrospective study (1987-1994).

摘要: Objective— The purpose of this study was to determine the signalment, history, clinical signs, diagnosis, treatment, outcome, and factors affecting outcome dogs cats surgically treated for bile peritonitis. Study Design— Retrospective study. Animals or Sample Population— Twenty-four two peritonitis. Methods— medical records biliary effusions at Ohio State University Michigan between 1987 1994 were reviewed. Statistical analysis performed compare outcome. Results— cause effusion determined in 24 animals, resulted from disruption tract secondary trauma (n = 13) necrotizing cholecystitis 11). Determination bilirubin concentration abdominal only diagnostic test that 100% effective diagnosing leakage before surgical intervention. consistently least times higher than serum concentration. Bacteriologic culture sensitivity revealed a septic, usually associated with multiple types gram-negative bacteria. overall survival rate 50% (13 26). peripheral white blood cell count significantly lower survivors (mean 20,608/uL) compared nonsurvivors 35,712/uL). immature neutrophil also 686/uL) (4,852/uL). Only 27% (3 11) animals septic survived. In contrast, (6 6) which no bacteria isolated Open drainage not successful treatment 7 9 effusions. Survival affected by distribution peritonitis, effusion, duration signs intervention. Conclusions— Patients sterile have much mortality those does require open drainage, is effusion. Clinical Relevance— This retrospective provides information may aid surgeon diagnosis peritonitis.