By
Sharon A. Center, DVM, DACVIM, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University
Jaundice is often the primary presenting sign in animals with disorders involving the gallbladder or extrahepatic biliary structures; abdominal effusion may reflect bile peritonitis. Finding a higher bilirubin concentration in an effusion relative to serum (>10-fold difference) confirms leakage of bile into the abdominal cavity and constitutes a surgical emergency.
Merck & Co., Inc., Rahway, NJ, USA (known as MSD outside of the US and Canada) is dedicated to using the power of leading-edge science to save and improve lives around the world. The Merck Veterinary Manual was first published in 1955 as a service to the community. The legacy of this great resource continues as the Merck Veterinary Manual in the US and Canada and the MSD Vet Manual outside of North America.
