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犬的异位胸内肝组织和副肺叶发育不全

Ectopic Intrathoracic Hepatic Tissue and Accessory Lung Lobe Aplasia in a Dog.

作者信息

Lande Rachel, Dvorak Laura, Gardiner David W, Bahr Anne

机构信息

From the PetPB Pet Emergency Clinic, Boynton Beach, FL (R.L.); Carolina Veterinary Specialists, Matthews, NC (R.L., L.D.); IDEXX Reference Laboratory, West Sacramento, CA (D.G.); and Pet Rays, Spring, TX (A.B.).

出版信息

J Am Anim Hosp Assoc. 2015 Sep-Oct;51(5):342-5. doi: 10.5326/JAAHA-MS-6229.

Abstract

A 6 yr old male Yorkshire terrier was presented for an ~6 yr history of progressive cough and dyspnea. Thoracic radiographs revealed a 6 cm diameter mass within the right caudal thorax. Thoracic ultrasound identified an intrathoracic mass ultrasonographically consistent with liver tissue and a chronic diaphragmatic hernia was suspected. Exploratory laparotomy was performed, but no evidence of a diaphragmatic hernia was identified. Thoracic exploration identified abnormal lung parenchyma. The accessory lung lobe was removed using a stapling devise near its base. The consolidated mass had the gross appearance of liver and was histologically identified as ectopic hepatic tissue. Ectopic hepatic tissue, unlike ectopic splenic and pancreatic tissue, is rare and generally has a subdiaphragmatic distribution. This solitary case report demonstrates that ectopic intrathoracic hepatic tissue should be considered a differential diagnosis for a caudal mediastinal mass.

摘要

一只6岁雄性约克夏梗因渐进性咳嗽和呼吸困难约6年病史前来就诊。胸部X光片显示右后胸部有一个直径6厘米的肿块。胸部超声检查发现胸腔内有一个超声图像与肝组织一致的肿块,怀疑存在慢性膈疝。进行了剖腹探查,但未发现膈疝的证据。胸部探查发现肺实质异常。使用吻合器在副肺叶基部附近将其切除。该实性肿块外观呈肝脏样,组织学检查确定为异位肝组织。与异位脾组织和胰腺组织不同,异位肝组织很少见,通常分布在膈下。这例单独病例报告表明,胸腔内异位肝组织应被视为后纵隔肿块的鉴别诊断之一。

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