Bir Köpekte Kistik Müsinöz Safra Kesesinin Klinik, Ultrasonografik ve Patolojik Değerlendirilmesi
Bu olgunun materyalini, uyuşukluk, polipne ve abdominal distensiyon şikayetiyle hayvan hastanesine getirilen 11 yaşlı erkek bir Spaniel Cocker oluşturdu. Fiziksel muayenede; karında hassasiyet tespit edildi. Vücut ısısı ve nabız sayısı fizyolojik seviyelerde ölçüldü. Ultrasonografik muayenede; hepatomegali, kalınlaşmış ve genişlemiş safra kesesi tespit edildi. Safra kesesi lümeninde hiperekoik içerik, ayrıca batında az miktarda serbest sıvı görüldü. Safra kesesi duvar kalınlığı 3,5 mm olarak ölçüldü. Biyokimyasal incelemede; AST, ALP, GGT ve toplam kolesterol seviyeleri önemli ölçüde artmış olarak tespit edildi. AST, glikoz ve fosfor seviyeleri referans değerlerin biraz üzerindeydi. Yapılan sağaltıma karşın hasta bir hafta sonra öldü ve nekropsi uygulandı. Bu olgu sunumunda bir köpekte rastlanılan kistik müsinöz safra kesesinin klinik, ultrasonografik ve patolojik değerlendirilmesi amaçlanmıştır.
Clinical, Ultrasonographic and Pathologic Evaluation of Cystic Mucinous Gallbladder in a Dog
An 11 years old male Spaniel Cocker was handled to Animal Hospital with lethargy, polypnea and abdominal distension. At physical examination; abdominal sensitivity was detected. The body temperature and heart rate were measured in physiological levels. On ultrasonographic examination; hepatomegaly, thickened and enlarged gallbladder were detected. Hyperechoic content in the lumen was observed also mild free liquid was seen in the abdomen. Gall bladder wall thickness was measured as 3,5 mm. At biochemical examination; AST, ALP, GGT and total cholesterol levels were significantly increased and AST, glucose and phosphorus levels were slightly increased when compared with the reference values. Due to treatment, the patient died after a week and necropsy was performed. At the pathologic examination; cystic mucinous gallbladder was detected. In this case presentation, clinical, ultrasonographic and pathologic evaluation of cystic mucinous gallbladder in a dog was described.
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