Thomas A, Finlay J, Sharp C
Perth Veterinary Specialists, Osborne Park, Western Australia, Australia.
College of Veterinary Medicine, Murdoch University, Murdoch, Western Australia, Australia.
Aust Vet J. 2024 Oct;102(10):510-513. doi: 10.1111/avj.13365. Epub 2024 Aug 19.
This report describes a suspected case of paraneoplastic syndrome of inappropriate antidiuretic hormone (SIADH) in a 5-year-old male entire Australian Kelpie associated with a gastric adenocarcinoma. The dog had a history of chronic vomiting and presented with hyponatraemia, hypokalaemia, hypochloraemia and increased urinary sodium. Computed tomography identified the presence of a gastric tumour and histopathology confirmed a pyloric gastric adenocarcinoma. Removal of the tumour via a Billroth I procedure resulted in rapid resolution of electrolyte derangements. The dog was still alive six months postoperatively with no recurrence of either SIADH or tumour at the time of publication.
本报告描述了一例5岁雄性澳大利亚凯尔皮犬疑似抗利尿激素分泌异常综合征(SIADH)副肿瘤综合征病例,该病例与胃腺癌有关。这只狗有慢性呕吐病史,表现为低钠血症、低钾血症、低氯血症和尿钠增加。计算机断层扫描发现存在胃肿瘤,组织病理学证实为幽门胃腺癌。通过毕罗一式手术切除肿瘤后,电解质紊乱迅速得到缓解。在发表时,这只狗术后6个月仍然存活,SIADH和肿瘤均未复发。