CHOLECYSTECTOMY ASSOCIATED TO DUODENAL ENTEROTOMY IN THE INFESTATION BY PLATYNOSOMUM SP. IN A DOMESTIC CAT

Abstract: Platynosomum sp. is the major hepatobiliary parasite of felids, causing an extra-hepatic obstructive lesion which may be treated by surgery. A two-year old cross-bred feline, semidomiciled, was attended with a clinical picture of apathy, jaundice, dehydration and increase in hepatic enzymes. In the abdominal ultrasonography the liver was observed enlarged, hepatic and portal veins with increased diameter, gall bladder filled by anechoic content, with sediment, thickening and hyperechogenicity of the wall and a dilated main bile duct with a thickened wall. The cholecystectomy with a duodenal enterotomy was performed. The inspection of the gall bladder’s content revealed parasites with a flattened aspect and the microscopic evaluation was compatible with Platynosomum sp. A treatment with niclosamide and oxibendazole was efficient. Cholecystectomy associated to a duodenal enterotomy is efficient in these cases.

Keywords: feline, parasite, surgery, liver, gall bladder.