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Challenging diagnosis--icterus associated with a single perforating duodenal ulcer after long-term nonsteroidal antiinflammatory drug administration in a dog
Authors:Duerr Felix M  Carr Anthony P  Bebchuk Trevor N  Pople Neil C
Institution:University of Saskatchewan, Veterinary Teaching Hospital, Western College of Veterinary Medicine, Department of Small Animal Clinical Sciences, 52 Campus Drive, Saskatoon, Saskatchewan. felix.duerr@usask.ca
Abstract:A dog developed icterus, vomiting, and anorexia 2 wk after orthopedic surgery and treatment with meloxicam for approximately 1 y. Exploratory laparotomy revealed a single perforated duodenal ulcer. The most likely cause of the hyperbilirubinemia was intrahepatic cholestasis resulting from peritonitis associated with the perforation.
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