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豚鼠异位肝组织的首例病例报告。

The First Case Report of Ectopic Hepatic Tissue in a Guinea Pig.

作者信息

Kimura Tohru, Inaka Kengo

机构信息

Laboratory Animal Science, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1, Yoshida, Yamaguchi 753-8515, Japan.

出版信息

Case Rep Vet Med. 2021 Jan 23;2021:6626299. doi: 10.1155/2021/6626299. eCollection 2021.

Abstract

Ectopic hepatic tissue is an extremely rare developmental abnormality in human beings. Although this lesion is likewise rare in veterinary medicine and there were sparse reports in several species such as dogs, cats, cows, and calves, we incidentally encountered ectopic hepatic tissue in a guinea pig. In the case of guinea pigs, we report for the first time the occurrence of ectopic hepatic tissue implanted in the gallbladder. The healthy guinea pig remained asymptomatic, and its macroscopic findings also showed no abnormalities. Hematological examinations exhibited moderate decreases in white cell counts, hemoglobin concentrations, and packed cell volume ratio. Serum biochemical examinations showed decreases in total protein and albumin and increases in glucose levels, alkaline phosphatase, lactate dehydrogenase, creatine kinase, and -glutamyl transpeptidase. There were slight changes in electrolytes (Cl, Ca, and Mg) and inorganic phosphorus, indicating minor deviations from physiologic ranges. An increase in TBIL concentrations was not found in this examination. Histopathological examination revealed the presence of normal hepatic structures (hepatocytes and hepatic cords) within the wall of the normal gallbladder. The vascular and bile duct structures and portal triads were not observed in the ectopic hepatic tissue. In conclusion, this microectopic hepatic tissue in a guinea pig was characterized by the embedded structures of hepatic tissues, without foreign body reaction.

摘要

异位肝组织在人类中是一种极其罕见的发育异常。尽管这种病变在兽医学中同样罕见,并且在狗、猫、牛和小牛等几个物种中有零星报道,但我们偶然在一只豚鼠身上发现了异位肝组织。就豚鼠而言,我们首次报告了胆囊内植入异位肝组织的情况。这只健康的豚鼠没有出现任何症状,其宏观检查结果也未显示异常。血液学检查显示白细胞计数、血红蛋白浓度和红细胞压积比值中度下降。血清生化检查显示总蛋白和白蛋白下降,葡萄糖水平、碱性磷酸酶、乳酸脱氢酶、肌酸激酶和γ-谷氨酰转肽酶升高。电解质(氯根、钙和镁)和无机磷有轻微变化,表明与生理范围有轻微偏差。此次检查未发现总胆红素浓度升高。组织病理学检查显示在正常胆囊壁内存在正常肝结构(肝细胞和肝索)。在异位肝组织中未观察到血管、胆管结构和门三联管。总之,这只豚鼠体内的微小异位肝组织的特征是肝组织的嵌入结构,无异物反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb35/7850827/3b4bf1656abc/CRIVEM2021-6626299.001.jpg

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