Spontaneous Unusual Backflow from Duodenum to Biliary System in a Dog with Pancreatic Abscesses: A Case Study
Robert Cristian Purdoiu,
Sorin Marian Marza,
Radu Lacatus,
Lucia Bel,
Lea Carisch,
Patrick Kircher
Affiliations
Robert Cristian Purdoiu
Laboratory of Radiology and Medical Imaging, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Calea Mănăștur 3-5, 400372 Cluj-Napoca, Romania
Sorin Marian Marza
Laboratory of Radiology and Medical Imaging, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Calea Mănăștur 3-5, 400372 Cluj-Napoca, Romania
Radu Lacatus
Laboratory of Radiology and Medical Imaging, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Calea Mănăștur 3-5, 400372 Cluj-Napoca, Romania
Lucia Bel
Laboratory of Radiology and Medical Imaging, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine, Calea Mănăștur 3-5, 400372 Cluj-Napoca, Romania
Lea Carisch
Clinic for Diagnostic Imaging, Department of Diagnostics and Clinical Services, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057 Zurich, Switzerland
Patrick Kircher
Clinic for Diagnostic Imaging, Department of Diagnostics and Clinical Services, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057 Zurich, Switzerland
Spontaneous duodenobiliary reflux is a rare condition in veterinary medicine, previously documented in only one canine case. We report a second instance in a 3-year-old neutered male Yorkshire Terrier, detected incidentally during a barium contrast study of the gastrointestinal tract (GIT). Multimodal imaging, including radiography, computed tomography (CT), and ultrasonography, confirmed the reflux and identified abscessing pancreatitis as its cause—a previously unreported etiology in dogs. This case expands the understanding of duodenobiliary reflux in canines, identifies abscessing pancreatitis as a novel differential, and demonstrates the diagnostic value of advanced imaging. In conclusion, abscessing pancreatitis should be considered as a potential cause of duodenobiliary reflux in dogs, and the use of multiple imaging modalities is pivotal for accurate diagnosis and management of this unusual condition.