Clinical Sciences Department, Colorado State University Veterinary Teaching Hospital, 300 West Drake Road, Fort Collins, CO 80523, USA.
Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):1123-1134. doi: 10.1016/j.cvsm.2020.06.007. Epub 2020 Jul 14.
Cholangitis is a common cause of hepatobiliary disease in the cat. Feline cholangitis is characterized as neutrophilic (acute or chronic), lymphocytic, or caused by liver flukes. The neutrophilic form is caused by bacterial infection of the biliary system, and identification of the specific bacterial agent guides treatment. Bile is the sample of choice for cytology and bacterial culture in these cases, and percutaneous ultrasound-guided cholecystocentesis is used to obtain that sample. This review covers the literature that provides evidence for safety and usefulness of percutaneous ultrasound-guided cholecystocentesis as part of the diagnostic work-up of cats suspected of having hepatobiliary disease.
胆管炎是猫科动物肝胆疾病的常见病因。猫胆管炎的特征为中性粒细胞性(急性或慢性)、淋巴细胞性,或由肝片吸虫引起。中性粒细胞性胆管炎由胆道系统细菌感染引起,特定细菌的鉴定指导治疗。在这些情况下,胆汁是细胞学和细菌培养的首选样本,经皮超声引导胆囊穿刺术用于获取该样本。本综述涵盖了文献,这些文献为经皮超声引导胆囊穿刺术作为怀疑患有肝胆疾病的猫的诊断检查的一部分的安全性和有用性提供了证据。