猫の総胆管断裂の1治験例

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  • Rupture of the Common Bile Duct in a Cat.

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We have experienced a case of ruptured common bile duct in a 9-month old Japanese domestic male cat. The cat was admitted on the 5th day after a traffic accident. Six days after the rupture, a reconstructive surgery of the common bile duct was performed with a favorable result.<BR>Anesthesia was induced by an intravenous injection of 0.25 mg/kg of atropine sulfate and 25 mg/kg of thiopental sodium and maintained with GOI under controlled ventilation.<BR>The Tomcat catheter® as a stent can be used in this case. The tip was cut to a length of about 1 cm. The cut face of the catheter was inserted into the common bile duct of the gallbladder side and sutured with a 6-0 catgut. This prevented the stent from slipping down. The rounded tip of the catheter was inserted into the common bile duct of the duodenal side. This may facilitate the natural passage of bile through the duct. The common bile duct was then simply sutured with a 6-0 Maxon®, and after confirming no leakage of bile, the reconstructive operation was completed. On the first day of postoperation, appetite returned and regression of the jaundice was observed. Healthy condition without any problems was observed after the operation 2 years ago.

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