Köhler C, Jopp I, Bosch B, Pfeifer S, Alef M, Oechtering G, Kiefer I
Klinik für Kleintiere, Universität Leipzig, An den Tierkliniken 23, 04103 Leipzig.
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2012;40(3):211-8.
The presented case report describes diagnostic and therapy of a liver abscess in a male Golden Retriever dog. The dog was adversely affected by fever, apathy, and vomitus. Diagnostic imaging including radiography, sonography and computed tomography, revealed an abscess-forming lesion of 10 × 5 cm in the left middle liver lobe with detectable multiple gas accumulation within the lesion. The surgical therapy included lobectomy with adjacent omentopexy. Four days after the operation the dog was discharged in a good general condition and with physiological body temperature. Detecting multiple gas accumulation in circular, inhomogeneous lesions by sonography allowed confirmation of the diagnosis. Surgical removal of the affected liver lobe led to recovery of the patient. In human medicine, less invasive methods are preferred, e.g. percutaneous drainage and alcoholization of the lesion. Exclusive medicamentous therapy yields the worst outcome in humans.
本病例报告描述了一只雄性金毛猎犬肝脏脓肿的诊断与治疗。该犬受到发热、冷漠和呕吐的不利影响。包括放射摄影、超声检查和计算机断层扫描在内的诊断成像显示，左中叶肝脏有一个10×5厘米的脓肿形成病变，病变内可检测到多个气体积聚。手术治疗包括肝叶切除术及邻近大网膜固定术。术后四天，该犬身体状况良好且体温正常出院。通过超声检查发现圆形、不均匀病变内有多个气体积聚可确诊。手术切除受影响的肝叶使患者康复。在人类医学中，更倾向于采用侵入性较小的方法，例如经皮引流和病变酒精化。单纯药物治疗在人类中效果最差。
