一只出现低血糖的狗在肝细胞癌切除术后患上糖尿病。

IF 1.5 4区 农林科学 Q2 VETERINARY SCIENCES Journal of the American Animal Hospital Association Pub Date : 2024-01-01 DOI:10.5326/JAAHA-MS-7397
Yolanda Lopez Barroso, Erika Villadieu
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引用次数: 0

摘要

一只 5 岁的雄性阉割拉布拉多犬因急性昏厥就诊。就诊时的血检结果显示该犬有低血糖症,腹部超声波检查发现尾状肝叶有肝脏肿块。该犬接受了肝叶部分切除术,组织病理学检查证实它患上了完全切除的肝细胞癌。术后血糖水平初步恢复正常,但 1 周后,由于出现多尿、多饮、高血糖和糖尿,患者被诊断为糖尿病。患者开始接受胰岛素治疗,确诊一年后,该犬仍需要每天两次注射胰岛素。本病例描述了一只狗在接受肝细胞癌手术切除后发展成糖尿病的罕见病例,最初还伴有低血糖。尽管这种情况非常罕见,但应将其视为此类肿瘤手术治疗的潜在并发症,受影响的患者可能需要长期药物治疗。
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Diabetes Mellitus Following Resection of a Hepatocellular Carcinoma in a Dog Presented with Hypoglycemia.

A 5 yr old male neutered Labradoodle presented for an episode of acute collapse. Point-of-care blood work showed hypoglycemia and abdominal ultrasonography revealed a liver mass arising from the caudate liver lobe. The dog underwent a partial liver lobectomy, and histopathology confirmed a fully resected hepatocellular carcinoma. Blood glucose levels normalized initially after surgery, but 1 wk later, the patient was diagnosed with diabetes mellitus based on the development of polyuria, polydipsia, hyperglycemia, and glucosuria. Appropriate treatment with insulin was initiated, and 1 yr following the diagnosis, the dog was still requiring administration of insulin twice daily. This case describes the uncommon development of diabetes mellitus in a dog following surgical resection of a hepatocellular carcinoma initially associated with hypoglycemia. Although very unusual, this should be considered as a potential complication of surgical treatment of such tumors, and affected patients may require long-term medical management.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
57
审稿时长
18-36 weeks
期刊介绍: The purpose of the JAAHA is to publish relevant, original, timely scientific and technical information pertaining to the practice of small animal medicine and surgery.
期刊最新文献
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