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水牛的肝胆疾病():临床、实验室及超声检查结果

Hepatobiliary diseases in buffalo (): clinical, laboratory, and ultrasonographic findings.

作者信息

Khalphallah Arafat, Aref Nasr-Eldin M, Abu-Seida Ashraf M, Elmeligy Enas, Bayoumi Sara A, Al-Lethie Al-Lethie A, Salman Doaa

机构信息

Divisions of Internal Medicine, Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut 71526, Egypt.

Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Giza 12211, Egypt.

出版信息

J Vet Sci. 2018 Jul 31;19(4):543-549. doi: 10.4142/jvs.2018.19.4.543.

Abstract

This study describes ultrasonographic observations of five hepatobiliary diseases in buffalo (). Fifty buffalo, including 20 clinically normal and 30 hepatobiliary diseased buffalo were enrolled in the study. Complete clinical, radiographic and ultrasonographic examinations and laboratory analyses were conducted. Focal parenchymal lesions including liver abscess (n = 12) and hepatic cyst (n = 6), diffuse parenchymal lesion (hepatobiliary cirrhosis, n = 5) and obstruction of hepatobiliary passages including cholestasis (n = 4), and hepatocholelithiasis (n = 3) were successfully imaged by ultrasonography. Hepatic abscess imaged as a hypoechoic to echogenic circumscribed mass of various diameters with a distinct echogenic capsule. Hepatic cyst imaged as a pear-shaped sac with a bright echogenic margin, anechoic content, and distal acoustic enhancement. In hepatobiliary fibrosis, the liver showed linear bands of increasing echogenicity with less distinct imaging of the portal vasculature. Cholestasis was imaged as dilatation of the gallbladder (GB) with wall thickening and homogeneous or heterogeneous contents. Hepatocholelithiasis imaged as an echoic structure within the hepatic parenchyma, or within and around the GB and bile duct, with more echogenicity of the hepatic parenchyma than normal. Ultrasonography can be an efficient rapid, noninvasive tool for screening of common hepatobiliary diseases in buffalo under field conditions.

摘要

本研究描述了水牛五种肝胆疾病的超声检查结果。五十头水牛纳入本研究,其中20头临床正常,30头患有肝胆疾病。进行了全面的临床、放射学和超声检查以及实验室分析。超声检查成功成像了局灶性实质病变,包括肝脓肿(n = 12)和肝囊肿(n = 6)、弥漫性实质病变(肝胆性肝硬化,n = 5)以及肝胆管阻塞,包括胆汁淤积(n = 4)和肝内胆管结石(n = 3)。肝脓肿表现为不同直径的低回声至等回声边界清楚的肿块,有明显的等回声包膜。肝囊肿表现为梨形囊腔,有明亮的等回声边缘、无回声内容物和后方回声增强。在肝胆纤维化中,肝脏显示出回声增强的线性带,门静脉血管成像不太清晰。胆汁淤积表现为胆囊扩张,胆囊壁增厚,内容物均匀或不均匀。肝内胆管结石表现为肝实质内、胆囊和胆管内及周围的回声结构,肝实质回声比正常增强。超声检查可成为野外条件下水牛常见肝胆疾病筛查的一种高效、快速、无创的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0433/6070584/c9e9cce9cc5f/jvs-19-543-g001.jpg

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