Edwards D F, Bahr R J, Suter P F, Reubner B H, Anderson B C, Breznock E M
J Am Vet Med Assoc. 1978 Sep 15;173(6):750-5.
A German Shepherd Dog was examined because of ascites and hepatomegaly. The finding of proteinaceous ascitic fluid and hepatic histologic features of centrizonal sinusoidal congestion suggested hepatic venous outflow obstruction. Diagnostic tests eliminated heart failure from the differential diagnosis and thus indicated an obstruction between the right atrium and hepatic sinusoids. Vascular manometry and angiography established the site of the lesion in the right atrium and confirmed portal vein hypertension. Surgical exploration revealed an unresectable right atrial tumor occluding the caudal vena cava.
一只德国牧羊犬因腹水和肝肿大接受检查。发现蛋白性腹水以及肝小叶中央静脉窦充血的肝脏组织学特征提示肝静脉流出道阻塞。诊断性检查排除了心力衰竭,从而表明在右心房和肝血窦之间存在阻塞。血管测压和血管造影确定了右心房的病变部位,并证实了门静脉高压。手术探查发现一个无法切除的右心房肿瘤阻塞了后腔静脉。