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Internal Medicine Home INTERNAL MEDICINE
FIRST DESCRIPTION OF A LIMY BILE SYNDROME IN A DOG
A 11‐year‐old spayed female golden retriever was examined because of lethargy, anorexia, vomiting and abdominal pain. Plain abdominal radiography showed a uniform radiopacity of the gallbladder. Ultrasonography demonstrated hyperechoic material in the gallbladder lumen associated with an acoustic shadow and findings consistent with acute pancreatitis. Which diagnostics should be performed next?
Fine‐needle aspiration of the bile revealed bacterial cholecystitis.

Following cholecystectomy, it was apparent that the gallbladder was filled with a semi‐solid, pasty‐like greenish‐brown material composed of 80% calcium carbonate, consistent with a diagnosis of ‘limy bile’.

After surgery and medical treatment, the dog`s condition improved.

Two months after discharge, the dog had fully recovered a good appetite and no relapse has been observed after 11 months of follow‐up.

To our knowledge, this is the first report of limy bile syndrome in a dog.

Source: V. Fabrès C. Layssol‐Lamour P. Meynaud‐Collard O. Dossin, Limy bile syndrome in a dog. JSAP, Early View. First published: 11 May 2018 https://doi.org/10.1111/jsap.12848


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Gastrointestinal effects following acupuncture in healthy dogs Does acupuncture of certain acupoints change the gastrointestinal motility? An interesting Question! The aim of this recently online published study was to quantify changes in gastric and intestinal emptying times in the conscious dog following gastrointestinal acupoint stimulation.

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