[引起狗黑黑和呕血的一种罕见的胆囊神经内分泌癌]。

IF 0.4 4区 农林科学 Q4 VETERINARY SCIENCES Tieraerztliche Praxis Ausgabe Kleintiere Heimtiere Pub Date : 2023-06-01 DOI:10.1055/a-2110-0142
Anna Lena Krämer, Frauke Seehusen, Mirja Christine Nolff
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引用次数: 0

摘要

对一只9岁雄性玛利诺犬进行了为期一个月的急性黑黑、呕血和慢性体重减轻的进一步检查。临床表现为一般症状轻度减轻。血液检查显示轻度非再生性贫血以及轻度谷丙转氨酶(ALT)升高。超声检查显示早期粘液囊肿的迹象。胃保护剂治疗未能改善临床,狗出现了进行性贫血。胃十二指肠镜检查无明显异常。由于持续的临床症状,我们进行了剖腹探查。胆囊颈处发现溃疡性出血块。组织病理学检查诊断为神经内分泌癌。组织病理学未见粘液囊肿。术后及胆囊切除术后13个月,黑黑、呕血症状消退,无临床症状。神经内分泌癌的胆囊应该被认为是一个罕见的原因黑黑和吐血的狗。
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[Neuroendocrine carcinoma of the gallbladder as a rare cause for melena and hematemesis in dogs].

A 9-year-old male Malinois was presented for further workup of acute melena, hematemesis and chronic weight loss for a duration of one month. Clinically, the patient presented with a mildly reduced general condition. Blood tests revealed mild non-regenerative anemia as well as a mild elevation of alanine aminotransferase (ALT). Ultrasonography showed signs of an early mucocele. Treatment with gastroprotectants failed to lead to clinical improvement and the dog developed progressive anemia. Gastroduodenoscopy was unremarkable. Due to persistent clinical signs, exploratory laparotomy was performed. An ulcerated bleeding mass was detected at the gallbladder neck. Histopathological examination led to the diagnosis of a neuroendocrine carcinoma. There was no evidence of a mucocele on histopathology. Melena and hematemesis subsided postoperatively and 13 months after cholecystectomy, the dog remains without clinical signs. Neuroendocrine carcinomas of the gallbladder should be considered as a rare cause of melena and hematemesis in dogs.

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来源期刊
CiteScore
0.80
自引率
16.70%
发文量
108
期刊介绍: Die Tierärztliche Praxis wendet sich mit ihren beiden Reihen als einzige veterinärmedizinische Fachzeitschrift explizit an den Großtier- bzw. Kleintierpraktiker und garantiert damit eine zielgruppengenaue Ansprache. Für den Spezialisten bietet sie Original- oder Übersichtsartikel zu neuen Therapie- und Operationsverfahren oder den Einsatz moderner bildgebender Verfahren. Der weniger spezialisierte Tierarzt oder Berufseinsteiger findet auf seinen Berufsalltag zugeschnittene praxisbezogene Beiträge in der Fortbildungsrubrik „Aus Studium und Praxis“. Mit dem hervorgehobenen „Fazit für die Praxis“ am Ende jedes Artikels verschafft sich auch der eilige Leser einen raschen Überblick über die wichtigsten Inhalte dieser modern konzipierten Fachzeitschrift mit den vielen hochwertigen, überwiegend farbigen Abbildungen. In jedem Heft ermöglicht ein ATF-anerkannter Fortbildungsartikel den Erwerb einer ATF-Stunde (Akademie für tierärztliche Fortbildung).
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