Sloet van Oldruitenborgh-Oosterbaan M M, van den Ingh T S
Tijdschr Diergeneeskd. 1985 Feb 1;110(3):99-103.
A trotter stallion showing symptoms of emaciation was suspected of disease of the liver associated with cholestasis in view of clinical symptoms (poor appetite, sluggishness, jaundice and oedema) and the results of examination of the blood (increased concentrations of gamma-glutamyl, transpeptidase, sorbitol dehydrogenase, alkaline phosphatase, aspartate aminotransferase and markedly increased conjugated bilirubin). A specimen removed at biopsy of the liver revealed the presence of portal fibrosis and severe cholestasis. At autopsy, it was found that very extensive fibrosis of the pancreas (probably due to migrating larvae of parasites) had caused extrahepatic cholestasis accompanied by fibrosis of the liver. The lesions of the coronary border, which were also present in this horse, could not be accounted for.
一匹出现消瘦症状的种公马,鉴于临床症状(食欲不振、行动迟缓、黄疸和水肿)以及血液检查结果(γ-谷氨酰转肽酶、山梨醇脱氢酶、碱性磷酸酶、天冬氨酸氨基转移酶浓度升高,结合胆红素显著升高),怀疑患有与胆汁淤积相关的肝脏疾病。肝脏活检取出的标本显示存在门静脉纤维化和严重胆汁淤积。尸检发现,胰腺广泛纤维化(可能是由于寄生虫幼虫移行所致)导致肝外胆汁淤积并伴有肝脏纤维化。这匹马还存在冠状缘病变,但原因不明。