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野猪胆囊缺失伴肝内胆管呈胆囊样化生的肝内胆管结石。

Intrahepatic cholelithiasis with gallbladder-like metaplasia of intrahepatic bile ducts associated with gallbladder agenesis in a wild boar.

机构信息

Department of Veterinary Pathology, College of Veterinary Medicine, Kyungpook National University, Daegu, Republic of Korea.

出版信息

J Vet Diagn Invest. 2023 Jul;35(4):390-394. doi: 10.1177/10406387231174233. Epub 2023 May 19.

DOI:10.1177/10406387231174233
PMID:37204064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10331384/
Abstract

An unknown-aged adult female wild boar () was brought to Kyungpook National University for postmortem examination. Gross examination revealed gallbladder agenesis. Histologically, the liver was cirrhotic and had intrahepatic cholelithiasis, the choleliths were yellow, brown, gray, and black, and had coffin-lid and pyramidal appearances. Fourier-transform infrared spectroscopy analysis revealed that the components were 80% struvite and 20% calcium oxalate monohydrate. Chronic inflammatory cell infiltration was observed, with hyperplastic hepatocellular nodules characterized by large nuclei, prominent nucleoli, and scant cytoplasm with frequent binucleation, surrounded by thick fibrous septa. The epithelium of intrahepatic bile ducts that contained choleliths had undergone gallbladder-like metaplasia, which might have been induced by chronic irritation from the stones or by the accompanying chronic bacterial infection that was observed in Gram stains.

摘要

一头未知年龄的成年雌性野猪()被带到庆北国立大学进行剖检。大体检查显示胆囊发育不全。组织学检查显示肝脏为肝硬化,并伴有肝内胆管结石,结石呈黄色、棕色、灰色和黑色,呈棺材盖和金字塔形外观。傅里叶变换红外光谱分析显示,成分 80%为鸟粪石,20%为一水合草酸钙。观察到慢性炎症细胞浸润,伴有大核、明显核仁、细胞质稀少、常双核的增生性肝细胞结节,周围有厚纤维性间隔。含有胆管结石的肝内胆管上皮发生了类似胆囊的化生,这可能是由结石的慢性刺激或革兰氏染色中观察到的伴随的慢性细菌感染引起的。

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J Vet Diagn Invest. 2023 Jul;35(4):390-394. doi: 10.1177/10406387231174233. Epub 2023 May 19.
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本文引用的文献

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Hexametaphosphate as a potential therapy for the dissolution and prevention of kidney stones.六偏磷酸钠作为一种潜在的溶解和预防肾结石的治疗方法。
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Cholelithiasis in the Dog: Prevalence, Clinical Presentation, and Outcome.犬类胆结石:患病率、临床表现及转归
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Chronic Inflammatory and Proliferative Lesions of the Gallbladder in Aged Pigs.老年猪胆囊的慢性炎症和增生性病变。
Vet Pathol. 2020 Jan;57(1):122-131. doi: 10.1177/0300985819875749. Epub 2019 Sep 24.
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Changes in pre- and postoperative serum leptin concentrations in dogs with gallbladder mucocele and cholelithiasis.患有胆囊黏液囊肿和胆结石的犬术前和术后血清瘦素浓度的变化。
BMC Vet Res. 2019 Jun 25;15(1):215. doi: 10.1186/s12917-019-1964-z.
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Intrahepatic bile duct exploration lithotomy is a useful adjunctive hepatectomy method for bilateral primary hepatolithiasis: an eight-year experience at a single centre.肝内胆管探查取石术是一种用于双侧原发性肝内胆管结石的有用的辅助性肝切除术方法:单中心八年经验。
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Risk Factors for Cholelithiasis.胆结石的危险因素。
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Gallstones.胆囊结石。
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