腊肠犬因合成线状异物导致胆总管梗阻

IF 0.3 Q4 VETERINARY SCIENCES
Sarah Zurbuchen, Colin Stone, Aidan Chambers, Mandy Womble, Kyle G. Mathews
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引用次数: 0

摘要

一只 1 岁大的雌性腊肠犬被发现患有合成线状异物,导致胆总管阻塞,临床表现为胆管炎和胆管炎。患者接受了胆囊切除术,并通过逆行冲洗十二指肠乳头和人工取物的方法将异物从胆总管中取出。在术后 6 个月的随访中,患者的胆汁淤积性肝炎症状有所改善,仅有轻度碱性磷酸酶升高,超声波检查显示胆总管中度扩张,在家中的临床表现良好。术后 8 个月,患者因化脓性胆管炎再次就诊,超声检查发现扩张的胆总管内有线状异物。这次发作经过药物治疗,并在服用两周抗生素后得到缓解。术后 1.5 年,患者临床表现良好,但丙氨酸转氨酶和碱性磷酸酶仍持续中度升高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Common bile duct obstruction caused by synthetic linear foreign material in a canine dachshund
A 1‐year‐old, female, spayed dachshund presenting with clinical signs associated with cholangiohepatitis and cholangitis was found to have synthetic linear foreign material causing a common bile duct obstruction. The patient underwent a cholecystectomy, and foreign material was removed from the common bile duct via retrograde flushing into the duodenal papilla and manual retrieval. At the 6‐month post‐operative follow up visit, the patient had an improved cholestatic hepatopathy, with only a mild alkaline phosphatase elevation, moderate dilation of the common bile duct on ultrasonography, and was doing clinically well at home. 8 months post‐operatively, the patient re‐presented for an episode of septic cholangiohepatitis, with linear foreign material visualised within a dilated common bile duct on ultrasound. This episode was medically managed and was resolved with a 2‐week course of antibiotics. 1.5 years post‐operatively, the patient is doing clinically well, but continues to have persistent, moderate elevations of alanine transaminase and alkaline phosphatase.
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来源期刊
Veterinary Record Case Reports
Veterinary Record Case Reports Veterinary-Veterinary (all)
CiteScore
0.50
自引率
33.30%
发文量
266
期刊介绍: Vet Record Case Reports is an online resource that publishes articles in all fields of veterinary medicine and surgery so that veterinary professionals, researchers and others can easily find important information on both common and rare conditions. Articles may be about a single animal, herd, flock or other group of animals managed together. Common cases that present a diagnostic, ethical or management challenge, or that highlight aspects of mechanisms of injury, pharmacology or histopathology are deemed of particular educational value. All articles are peer reviewed and copy edited before publication.
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