Double or duplicate gallbladder in a Harlequin breed rabbit

 

 

Michel Gruaz

 

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The liver is a large organ that occupies a specific space in the abdomen. In rabbits, the liver is composed of two main lobes, right and left, that are separated by a deep median cleft. Between these lobes are two accessory lobes: the cranial lobe and the caudal lobe. The liver maintains its position in the abdominal region due to ligaments that attach to the diaphragm and the dorsal wall of the abdomen.

The liver plays a central role in the synthesis of proteins, in the metabolism of sugars, and the storage of nutrients. It is also involved in the degradation of toxins and the treatment of organic waste produced by cells of the body. In addition to its primary function, it plays a crucial role in the endocrine system by stimulating various biochemical reactions that are vital for the body's optimal functioning. It also has an exocrine function, responsible for bile secretion. The latter is a viscous liquid that facilitates the digestion of fats. In rabbits, bile is produced continuously and stored in the gallbladder. It is then secreted into the small intestine (duodenum) through the bile ducts. The vesicle has a pear-like shape.

The gallbladder is located in the right cranial lobule, inside the depression on the caudal surface. It is pear-shaped. The gall of rabbits is primarily composed of billiverdon, which possesses strong antioxidant properties, and not of bilirubine. The produced quantity is substantial, with each rabbit producing approximately 250 millilitres per day. This is equivalent to seven times the quantity produced by a dog.

Congenital double gallbladder

A double or duplicate gallbladder is a rare congenital anomaly. During the embryonic phase, the first stage gallbladder (primordium) bifurcates, resulting in a double or duplicate vesicle. This deformation appears to be more prevalent among herbivorous animals, such as cows (1 in 28 calves) and sheep (1 in 85). There have been reports of cases in rabbits. It has been observed that there are different types of gallbladder duplication:

·        Bifide, bilobed type: a membrane divides the vesicle is divided in its length, creating two side by side pockets;

·        Double type: presence of 2 separate gallbladders. Their bile ducts can join before delivering bile into the small intestine, or remain separate.

This congenital anomaly has been linked to a number of clinical signs. Abdominal pain at stomach level has been associated with a double gallbladder, which can lead to a lack of appetite in rabbits. In other animals, signs associated with a double gallbladder include biliary colics, pain, acute inflammation of the gallbladder (cholecystitis), and the presence of gallstones (cholelithiasis).

Normal rabbit liver and gallbladder (arrow)

Liver and double gallbladder (pocket filled with green liquid - arrows) in a Harlequin rabbit aged 3 months. Since weaning, this rabbit had regular digestive problems and weighted only 2.3 kilos, while his littermates weighed 2.8 kg.

Liver and double gallbladder is well visible in another Harlequin breed rabbit.

More information

Milot L, Partensky C, Scoazec JY, Valette PJ, Pilleul F. Double gallbladder diagnosed on contrast-enhanced MR cholangiography with mangafodipir trisodium. AJR Am J Roentgenol. 2005;184(3 Suppl):S88-90.

Moores AL, Gregory SP. Duplex gall bladder associated with choledocholithiasis, cholecystitis, gall bladder rupture and septic peritonitis in a cat. J Small Anim Pract. 2007;48(7):404-9.

Stingl H. [Vesica fellea duplex and vesica fellea divisa in rabbits (Oryctolagus cuniculus)]. Berl Munch Tierarztl Wochenschr. 1971;84(21):420-2.

Stolkind E. Double gall-bladder report of a case and review of 38 cases. British Journal of Surgery Vol 27 (108),  1940: 760–766.

 

  

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