Skip to main content
The Canadian Veterinary Journal logoLink to The Canadian Veterinary Journal
. 1988 Aug;29(8):654–657.

Bile Duct Obstruction Secondary to Chronic Pancreatitis in Seven Dogs

Alastair E Cribb, David C Burgener, Keith A Reimann
PMCID: PMC1680769  PMID: 17423102

Abstract

Seven icteric dogs were determined to have bile duct obstruction secondary to chronic pancreatitis. All dogs had histories of intermittent vomiting and diarrhea. Alkaline phosphatase and alanine aminotransferase activities and total bilirubin concentrations were markedly elevated. Diagnosis was based on exploratory laparotomy and histological examination. Each dog had a 3 to 10 cm mass in the body of the pancreas and obstruction of the common bile duct. Three dogs treated with pancreatectomy, gastrojejunostomy, and cholecystojejunostomy died within five weeks. Three dogs treated with conservative surgical procedures were alive at 8, 16, and 26 months postoperatively. One dog was euthanized because of suspected neoplasia. Hepatic enzyme activity and bilirubin levels decreased markedly in the surviving dogs. Histological examination of the pancreatic masses indicated chronic pancreatitis. Hepatic biopsies revealed evidence of cholestasis. Chronic pancreatitis should be included in the differential diagnoses of icterus, bile duct obstruction, and masses in the pancreas.

Full text

PDF
654

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aranha G. V., Prinz R. A., Freeark R. J., Greenlee H. B. The spectrum of biliary tract obstruction from chronic pancreatitis. Arch Surg. 1984 May;119(5):595–600. doi: 10.1001/archsurg.1984.01390170091018. [DOI] [PubMed] [Google Scholar]
  2. Bradley E. L., 3rd, Salam A. A. Hyperbilirubinemia in inflammatory pancreatic disease: natural history and management. Ann Surg. 1978 Nov;188(5):626–629. doi: 10.1097/00000658-197811000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Burcharth F., Kam-Hansen L. Obstructive jaundice in pancreatitis investigated by percutaneous transhepatic cholangiography. Scand J Gastroenterol. 1978;13(5):589–591. doi: 10.3109/00365527809181768. [DOI] [PubMed] [Google Scholar]
  4. Creaghe S. B., Roseman D. M., Saik R. P. Biliary obstruction in chronic pancreatitis: indications for surgical intervention. Am Surg. 1981 Jun;47(6):243–246. [PubMed] [Google Scholar]
  5. Eckhauser F. E., Knol J. A., Strodel W. E., Achem S., Nostrant T. Common bile duct strictures associated with chronic pancreatitis. Am Surg. 1983 Jul;49(7):350–358. [PubMed] [Google Scholar]
  6. Grodsinsky C., Block M. A. Persistent obstructive jaundice associated with chronic pancreatitis. Henry Ford Hosp Med J. 1980;28(1):55–59. [PubMed] [Google Scholar]
  7. Matthiesen D. T., Rosin E. Common bile duct obstruction secondary to chronic fibrosing pancreatitis: treatment by use of cholecystoduodenostomy in the dog. J Am Vet Med Assoc. 1986 Dec 1;189(11):1443–1446. [PubMed] [Google Scholar]
  8. McCollum W. B., Jordan P. H. Obstructive jaundice in patients with pancreatitis without associated biliary tract disease. Ann Surg. 1975 Aug;182(2):116–120. doi: 10.1097/00000658-197508000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Sarles H., Sahel J. Cholestasis and lesions of the biliary tract in chronic pancreatitis. Gut. 1978 Sep;19(9):851–857. doi: 10.1136/gut.19.9.851. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Scott J., Summerfield J. A., Elias E., Dick R., Sherlock S. Chronic pancreatitis: a cause of cholestasis. Gut. 1977 Mar;18(3):196–201. doi: 10.1136/gut.18.3.196. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Strombeck D. R., Wheeldon E., Harrold D. Model of chronic pancreatitis in the dog. Am J Vet Res. 1984 Jan;45(1):131–136. [PubMed] [Google Scholar]

Articles from The Canadian Veterinary Journal are provided here courtesy of Canadian Veterinary Medical Association

RESOURCES