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犬超声引导下肝脏活检相关的肝肺气肿

Hepatic emphysema associated with ultrasound-guided liver biopsy in a dog.

作者信息

Westgren Frida, Hjorth Tove, Uhlhorn Margareta, Etterlin Pernille E, Ley Charles J

机构信息

Department of Diagnostic Imaging, University Animal Hospital, Swedish University of Agricultural Sciences, Box 7040, Uppsala 75007, Sweden.

出版信息

Acta Vet Scand. 2014 Apr 23;56(1):25. doi: 10.1186/1751-0147-56-25.

DOI:10.1186/1751-0147-56-25
PMID:24758285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4020358/
Abstract

An eleven-year-old Chinese Crested Powder Puff dog presented with polydipsia/polyuria, inappetence, diarrhea and vomiting underwent an ultrasound-guided percutaneous liver biopsy. Two days post-biopsy the clinical condition of the dog acutely deteriorated with fever, dyspnea, ataxia and subcutaneous emphysema. Radiographs and ultrasound showed focal severe hepatic emphysema in the region of the previous liver biopsy. Post-mortem examination revealed chronic hepatitis with dissecting fibrosis, acute hepatitis with hemorrhage and in the hindlimb musculature extensive hemorrhage and necrosis. Pure cultures of the gas producing bacteria Clostridium perfringens were isolated in samples from the hind limb musculature. We propose that the hepatic emphysema in the region of the biopsy site was a result of a clostridial infection.

摘要

一只11岁的中国冠毛犬出现多饮/多尿、食欲不振、腹泻和呕吐症状,接受了超声引导下经皮肝活检。活检后两天,该犬的临床状况急剧恶化,出现发热、呼吸困难、共济失调和皮下气肿。X光片和超声显示,在先前肝活检区域出现局灶性严重肝气肿。尸检发现慢性肝炎伴桥接纤维化、急性肝炎伴出血,后肢肌肉组织有广泛出血和坏死。从后肢肌肉组织样本中分离出产气细菌产气荚膜梭菌的纯培养物。我们认为活检部位区域的肝气肿是梭菌感染的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e791/4020358/eaa15be73f81/1751-0147-56-25-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e791/4020358/c98b6671aea1/1751-0147-56-25-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e791/4020358/6f33328f82ce/1751-0147-56-25-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e791/4020358/eaa15be73f81/1751-0147-56-25-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e791/4020358/c98b6671aea1/1751-0147-56-25-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e791/4020358/6f33328f82ce/1751-0147-56-25-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e791/4020358/eaa15be73f81/1751-0147-56-25-3.jpg

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本文引用的文献

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Fulminant sepsis after liver biopsy: A long forgotten complication?肝活检后暴发性脓毒症:一种被长期遗忘的并发症?
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