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[胆囊神经内分泌癌作为犬黑便和呕血的罕见病因]

[Neuroendocrine carcinoma of the gallbladder as a rare cause for melena and hematemesis in dogs].

作者信息

Krämer Anna Lena, Seehusen Frauke, Nolff Mirja Christine

机构信息

Klinik für Kleintiermedizin, Department für Klinische Tiermedizin, Vetsuisse-Fakultät, Universität Zürich, Schweiz.

Institut für Veterinärpathologie, Vetsuisse-Fakultät, Universität Zürich, Schweiz.

出版信息

Tierarztl Prax Ausg K Kleintiere Heimtiere. 2023 Jun;51(3):194-200. doi: 10.1055/a-2110-0142. Epub 2023 Aug 11.

Abstract

A 9-year-old male Malinois was presented for further workup of acute melena, hematemesis and chronic weight loss for a duration of one month. Clinically, the patient presented with a mildly reduced general condition. Blood tests revealed mild non-regenerative anemia as well as a mild elevation of alanine aminotransferase (ALT). Ultrasonography showed signs of an early mucocele. Treatment with gastroprotectants failed to lead to clinical improvement and the dog developed progressive anemia. Gastroduodenoscopy was unremarkable. Due to persistent clinical signs, exploratory laparotomy was performed. An ulcerated bleeding mass was detected at the gallbladder neck. Histopathological examination led to the diagnosis of a neuroendocrine carcinoma. There was no evidence of a mucocele on histopathology. Melena and hematemesis subsided postoperatively and 13 months after cholecystectomy, the dog remains without clinical signs. Neuroendocrine carcinomas of the gallbladder should be considered as a rare cause of melena and hematemesis in dogs.

摘要

一只9岁的雄性马里努阿犬因急性黑便、呕血和持续一个月的慢性体重减轻前来进一步检查。临床上,该患者的一般状况略有下降。血液检查显示轻度非再生性贫血以及丙氨酸转氨酶(ALT)轻度升高。超声检查显示早期黏液囊肿的迹象。使用胃黏膜保护剂治疗未能使临床症状改善,且该犬出现进行性贫血。胃十二指肠镜检查未见异常。由于临床症状持续存在,遂进行了剖腹探查术。在胆囊颈部发现一个溃疡出血性肿块。组织病理学检查诊断为神经内分泌癌。组织病理学上没有黏液囊肿的证据。术后黑便和呕血症状消退,胆囊切除术后13个月,该犬仍无临床症状。胆囊神经内分泌癌应被视为犬类黑便和呕血的罕见原因。

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