{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:29:17Z","timestamp":1777858157886,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Feline Medicine and Surgery Open Reports"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 10-year-old neutered female domestic shorthair cat was presented to our hospital with a 2-day history of anorexia, vomiting and lethargy. The biochemistry panel revealed increased hepatic enzyme activity and serum amyloid A concentration. Haematological values were within reference intervals. An abdominal ultrasound identified a hyperechoic spindle-shaped structure within the common bile duct and a suspected secondary subobstruction, associated with signs of intra- and extrahepatic biliary tract inflammation. During hospitalisation, the cat developed severe and sustained ionised hypercalcaemia. Exploratory surgery was elected as a result of the lack of clinical improvement, despite supportive treatment and suspected retrograde migration of the spindle-shaped structure. Two grass awns were extracted at the junction of an extrahepatic duct and the common bile duct via choledochotomy using intraoperative ultrasound guidance. A stent was then placed in the bile duct to prevent subsequent bile leakage. Histopathology of the liver revealed a moderate neutrophilic and lymphoplasmacytic inflammation with rare bacterial colonies. Escherichia coli was cultured from a bile sample. No specific cause of hypercalcaemia was identified. The cat recovered uneventfully from surgery. Hepatic enzyme activities and hypercalcaemia progressively decreased within a few weeks after surgery and remained within the reference intervals without treatment. Therefore, hypercalcaemia was suspected to be secondary to a foreign body-related granulomatous reaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance and novel information<\/jats:title>\n                    <jats:p>To our knowledge, only one other feline case report of biliary tract obstruction secondary to a biliary foreign body has been described in the literature. This is also the first case reporting the use of intraoperative ultrasound to localise a vegetal foreign body within the biliary tract of a cat. This case is also unique because of the onset of hypercalcaemia suspected to be secondary to a foreign body-related granulomatous reaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20551169241258635","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T07:52:17Z","timestamp":1721893937000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ionised hypercalcaemia in a cat with extrahepatic biliary tract obstruction secondary to a bile duct vegetal foreign body"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0965-8891","authenticated-orcid":false,"given":"Diane","family":"Pichard","sequence":"first","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de M\u00e9decine Interne, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4921-7182","authenticated-orcid":false,"given":"Pauline","family":"Bernard","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de M\u00e9decine Interne, Maisons-Alfort, France"},{"name":"Ecole Nationale V\u00e9t\u00e9rinaire de Toulouse, CHUV-Ac, Service de M\u00e9decine Interne, Toulouse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion","family":"Fenet","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service d\u2019Imagerie M\u00e9dicale, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3871-0986","authenticated-orcid":false,"given":"Paul","family":"Garnier","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de Chirurgie, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Schoffit","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de Chirurgie, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8902-1240","authenticated-orcid":false,"given":"Sarah","family":"Manzoni","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de Chirurgie, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghita","family":"Benchekroun","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de M\u00e9decine Interne, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Manassero","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de Chirurgie, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Freiche","sequence":"additional","affiliation":[{"name":"Ecole Nationale V\u00e9t\u00e9rinaire d\u2019Alfort, CHUVA, Service de M\u00e9decine Interne, Maisons-Alfort, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"bibr1-20551169241258635","first-page":"405","volume-title":"Feline gastroenterology","author":"Lee K.","year":"2021"},{"key":"bibr2-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2002.tb00067.x"},{"key":"bibr3-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X17706465"},{"key":"bibr4-20551169241258635","doi-asserted-by":"publisher","DOI":"10.5326\/15473317-31-6-478"},{"key":"bibr5-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfms.2010.06.004"},{"key":"bibr6-20551169241258635","volume":"7","author":"Venier F","year":"2021","journal-title":"JFMS Open Rep"},{"key":"bibr7-20551169241258635","volume":"1","author":"Linton M","year":"2015","journal-title":"JFMS Open Rep"},{"key":"bibr8-20551169241258635","first-page":"502","volume":"29","author":"Cornell KK","year":"1993","journal-title":"J Am Anim Hosp Assoc"},{"key":"bibr9-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8261.2007.00276.x"},{"key":"bibr10-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1111\/vru.12081"},{"key":"bibr11-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-019-1088-8"},{"key":"bibr12-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpge.2015.12.001"},{"key":"bibr13-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8261.2007.00275.x"},{"key":"bibr14-20551169241258635","volume":"3","author":"Spain HN","year":"2017","journal-title":"JFMS Open Rep"},{"key":"bibr15-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8261.2005.00077.x"},{"key":"bibr16-20551169241258635","doi-asserted-by":"publisher","DOI":"10.5326\/JAAHA-MS-6913"},{"key":"bibr17-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2011.05.009"},{"key":"bibr18-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2003.12.008"},{"key":"bibr19-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1590\/0103-8478cr20151532"},{"key":"bibr20-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2016.09.004"},{"key":"bibr21-20551169241258635","first-page":"275","volume-title":"Textbook of veterinary internal medicine","author":"Mellanby R.","year":"2017","edition":"8"},{"key":"bibr22-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.16627"},{"key":"bibr23-20551169241258635","volume":"2019","author":"Dangol GMS","year":"2019","journal-title":"Case Rep Nephrol"},{"key":"bibr24-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.4.1195"},{"key":"bibr25-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.1661"},{"key":"bibr26-20551169241258635","doi-asserted-by":"publisher","DOI":"10.2460\/javma.1999.215.07.959"},{"key":"bibr27-20551169241258635","doi-asserted-by":"publisher","DOI":"10.5326\/JAAHA-MS-5566"},{"key":"bibr28-20551169241258635","volume":"8","author":"Ma D","year":"2022","journal-title":"JFMS Open Rep"},{"key":"bibr29-20551169241258635","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2005.05.044"}],"container-title":["Journal of Feline Medicine and Surgery Open Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20551169241258635","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20551169241258635","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20551169241258635","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:08:29Z","timestamp":1777507709000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20551169241258635"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/20551169241258635"],"URL":"https:\/\/doi.org\/10.1177\/20551169241258635","relation":{},"ISSN":["2055-1169","2055-1169"],"issn-type":[{"value":"2055-1169","type":"print"},{"value":"2055-1169","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"article-number":"20551169241258635"}}