一例罕见的狗脾切除术后单发肝内脾病。

IF 1.1 4区 农林科学 Q3 VETERINARY SCIENCES
Journal of Veterinary Medical Science Pub Date : 2025-03-01 Epub Date: 2025-01-15 DOI:10.1292/jvms.24-0080
Hiroshi Sunahara, Yuki Nemoto, Dito Anggoro, Melpa Susanti Purba, Kazuhito Itamoto, Harumichi Itoh, Munekazu Nakaichi, Kenji Tani
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引用次数: 0

摘要

一只体重6.8公斤的9岁绝育雌性杂交犬,4年前曾因血管肉瘤行脾切除术,因肝脏肿块病变被转诊。虽然狗没有临床症状,但计算机断层扫描显示肝脏左内叶有一个孤立的肿块。肿块穿刺活检见脾样组织,诊断为肝内脾亢。因此,肝左内叶行肝叶切除术。切除肿瘤的组织病理学检查证实了肝内脾亢的诊断。术后217天CT未见脾萎缩进一步发展。术后272天,犬疑似吸入性肺炎死亡,无肝内脾病相关事件及临床体征。本犬肝内脾肿大病因不明;然而,经门静脉血流的脾组织的均匀播散和自身植入被推测。本病例显示了针芯活检在脾脾症术前诊断中的应用。本例肝内脾肿大被认为是脾切除术后的长期后遗症,与人类一样。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A rare case of solitary intrahepatic splenosis following splenectomy in a dog.

A 9-year-old spayed female mixed breed dog weighing 6.8 kg with a history of previous splenectomy for hemangiosarcoma 4 years earlier was referred for a hepatic mass lesion. Although the dog did not have a clinical sign, a computed tomography revealed a solitary mass in the left medial lobe of the liver. Spleen-like tissue was observed on needle core biopsy of the mass, leading to the diagnosis of intrahepatic splenosis. Therefore, hepatic lobectomy of the left medial lobe of the liver was performed. Histopathological evaluation of the excised tumor confirmed the diagnosis of intrahepatic splenosis. No further development of splenosis was detected on CT performed 217 days after the surgery. The dog died of suspected aspiration pneumonia without any event or clinical signs related to intrahepatic splenosis on postoperative 272 days. The cause of the intrahepatic splenosis observed in this dog was unknown; however, hematogeneous dissemination and autoimplantation of splenic tissue via the portal venous flow was speculated. This case shows the utility of needle core biopsy for the preoperative diagnosis of splenosis. The intrahepatic splenosis in this case was considered to have developed as a long-term sequelae after splenectomy, as in humans.

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来源期刊
Journal of Veterinary Medical Science
Journal of Veterinary Medical Science 农林科学-兽医学
CiteScore
2.30
自引率
8.30%
发文量
230
审稿时长
9-18 weeks
期刊介绍: JVMS is a peer-reviewed journal and publishes a variety of papers on veterinary science from basic research to applied science and clinical research. JVMS is published monthly and consists of twelve issues per year. Papers are from the areas of anatomy, physiology, pharmacology, toxicology, pathology, immunology, microbiology, virology, parasitology, internal medicine, surgery, clinical pathology, theriogenology, avian disease, public health, ethology, and laboratory animal science. Although JVMS has played a role in publishing the scientific achievements of Japanese researchers and clinicians for many years, it now also accepts papers submitted from all over the world.
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