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松鼠猴(松鼠猴属)的自发性胆结石

Spontaneous Cholelithiasis in a Squirrel Monkey (Saimiri sciureus).

作者信息

Lieberman Mia T, Wachtman Lynn M, Marini Robert P, Bakthavatchalu Vasu, Fox James G

机构信息

Division of Comparative Medicine, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.

出版信息

Comp Med. 2016 Feb;66(1):63-7.

Abstract

A mature female squirrel monkey was noted during routine semiannual examinations to have moderate progressive weight loss. Serum chemistry panels revealed marked increases in hepatic enzyme, bilirubin, and bile salt concentrations and hypoalbuminemia. Abdominal ultrasonography revealed echogenic, shadowing debris in the gallbladder, consistent with cholelithiasis. At necropsy, marked thickening and distension of the gallbladder, cystic duct, and common bile duct was noted, and more than 50 irregularly shaped, black gallstones were removed from the biliary tract. Gallbladder tissue, bile, and gallstones cultured positive for Escherichia coli and Proteus spp., suggesting a brown-pigment gallstone type secondary to a bacterial nidus. Histopathology revealed severe chronic-active diffuse cholecystitis and severe chronic-active hepatic degeneration and necrosis with severe cholestasis. To our knowledge, this report is the first description of spontaneous choleilthiasis in a squirrel monkey.

摘要

在例行的半年一次检查中,发现一只成年雌性松鼠猴出现中度进行性体重减轻。血清生化检查显示肝酶、胆红素和胆汁盐浓度显著升高,伴有低白蛋白血症。腹部超声检查发现胆囊内有回声、伴有声影的碎屑,符合胆结石表现。尸检时,发现胆囊、胆囊管和胆总管明显增厚和扩张,从胆道中取出了50多个形状不规则的黑色胆结石。胆囊组织、胆汁和胆结石培养出大肠杆菌和变形杆菌属阳性,提示为继发于细菌病灶的棕色色素型胆结石。组织病理学显示严重的慢性活动性弥漫性胆囊炎、严重的慢性活动性肝变性和坏死,并伴有严重胆汁淤积。据我们所知,本报告是对松鼠猴自发性胆结石的首次描述。

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