ULTRASONOGRAPHIC CHANGES IN CATS WITH ACUTE BACTERIAL CHOLANGIOHEPATITIS

D. Usenko, A. Rudenko, P. Rudenko, A. Rudenko
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Abstract

The development of an inflammatory process in the liver tissue and bile ducts in cats is a frequent and severe pathology that requires early diagnostic and therapeutic approaches. It is shown that the diagnostic approach for feline cholangiohepatitis should be comprehensive and based on a thorough analysis of anamnestic data, the results of physical examination and additional methods of instrumental and laboratory diagnostics. It is important in the diagnosis of cholangiohepatitis in cats to conduct visual diagnostic methods, in particular ultrasonography. It is established that the method of ultrasonographic diagnostics is of high value in the verification of acute cholangiohepatitis in domestic cats. Hepatomegaly was detected in 23.5% of sick cats, the severity of this sign positively correlated with the severity of the course of cholangiohepatitis. Microhepathy in patients with feline cholangiohepatitis was observed with a frequency of 5.9%, hyperechogenicity of the liver – 17.6%, hypoechogenicity of the liver – 7.8%, dilatation of the bile ducts – 23.5%, thickening of the gallbladder wall – 9.8%, pathological echogenicity of the gallbladder wall – 3.9%, echogenic debris in the gallbladder cavity – 32.4%, change in the echogenicity of the pancreas - 31.4%, increase in the size of the pancreas – 15.7%, thickening of the duodenal wall – 11.8%, pathological layering of the duodenal wall – 7.8%, hyperechogenicity of parapancreatic fat – 5.9%, peritoneal effusion – 5.9%.
猫急性细菌性胆管肝炎的超声改变
猫肝组织和胆管炎症过程的发展是一种常见和严重的病理,需要早期诊断和治疗方法。结果表明,猫胆管肝炎的诊断方法应该是全面的,并建立在对记忆数据、体格检查结果和仪器和实验室诊断方法的深入分析的基础上。在猫胆管肝炎的诊断中,进行视觉诊断,特别是超声检查是很重要的。结果表明,超声诊断方法在家猫急性胆管肝炎的诊断中具有较高的应用价值。23.5%的病猫出现肝肿大,其严重程度与胆管肝炎病程的严重程度呈正相关。猫胆管性肝炎患者微肝的发生率为5.9%,肝脏高回声率为17.6%,肝脏低回声率为7.8%,胆管扩张率为23.5%,胆囊壁增厚率为9.8%,胆囊壁病理回声率为3.9%,胆囊腔内有回声物32.4%,胰腺回声改变率为31.4%,胰腺体积增大率为15.7%。十二指肠壁增厚11.8%,十二指肠壁病理性分层7.8%,胰旁脂肪高回声性5.9%,腹膜积液5.9%。
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