ULTRASONOGRAPHIC APPEARANCE AND CLINICAL FINDINGS IN 14 DOGS WITH GALLBLADDER MUCOCELE     

JG Besso  DEDV  RH Wrigley  BVSc  MS DVR  JM Gliatto  VMD CRL Webster  DVM 《Veterinary radiology & ultrasound》2000,41(3):261-271

Fourteen dogs with enlarged gallbladders and immobile stellate or finely striated bile patterns on ultrasound are described. Smaller breeds and older dogs were overrepresented, with 4/14 Cocker Spaniels. Most dogs presented for nonspecific clinical signs such as vomiting, anorexia and lethargy. Abdominal pain, icterus and hyperthermia were the most common findings on physical examination. All dogs except one had serum elevation of total bilirubin and/or alkaline phosphatase, alanine aminotransferase and gamma glutamyl transferase. All dogs were diagnosed with a gallbladder mucocele upon histologic and/or macroscopic evaluation. Ultrasonographically, mucoceles are characterized by the appearance of the stellate or finely striated bile patterns and differ from biliary sludge by the absence of gravity dependent bile movement. On ultrasound, gallbladder wall thickness and wall appearance were variable and nonspecific. The cystic or common bile duct were normal sized in 5 dogs although all 5 had evidence of biliary obstruction at surgery or necropsy. Loss of gallbladder wall integrity and/or gallbladder rupture were present in 50% of the dogs, all located in the fundus. Gallbladder wall discontinuity on ultrasound indicated rupture whereas neither bile patterns predicted the likelihood of gallbladder rupture. Pericholecystic hyperechoic fat or fluid were suggestive of but not diagnostic for a gallbladder rupture. Cholecystectomy appears to be an appropriate treatment for mucoceles, if not to treat a gallbladder rupture, at least in most dogs to prevent it since gallbladder wall necrosis was identified by histology in 9 of 10 dogs. Mucosal hyperplasia was present in all gallbladders examined histologically. Positive aerobic bacterial culture was obtained from bile in 6 of 9 dogs. Cholecystitis was diagnosed histologically in 5 dogs and 4 dogs had signs of gallbladder infection solely upon bacterial bile culture. Gallbladder infection was not present with all the mucoceles suggesting that biliary stasis and mucosal hyperplasia may be the primary factors involved in mucocele formation. Based on the results of our study, we suggest two alternate courses of action in the presence of a distended gallbladder with an immobile ultrasonographic stellate or finely striated bile pattern: a cholecystectomy when clinical or biochemical signs of hepatobiliary disease are present or a medical treatment (antibiotics and choleretics) and patient monitoring by follow-up ultrasound examinations when the patient does not have clinical or biochemical abnormalities. An aerobic bile culture should be obtained in all patients, by ultrasound-guided fine needle aspirate or at surgery.  相似文献   

RADIOLOGY CORNER—MYELOGRAPHIC "GOLF-TEE" APPEARANCE DUE TO AN EXTRADURAL SPINAL CORD LESION     

Jacques  Penderis  BVSc  MVM 《Veterinary radiology & ultrasound》2000,41(6):534-535

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Urinary Bladder Herniation through a Vaginal Tear in a Rottweiller with Dystocia     

Deborah C. Mandell VMD  DACVECC  Prue Neath BVSc  Kenneth J. Drobatz DVM  DACVECC 《Journal of Veterinary Emergency and Critical Care》2000,10(3):173-175

A four-year old female Rottweiler presented with a 34-hour history of dystocia. Physical examination revealed a purple-black, fluid-filled sac protruding from vulva and suspended by a similar colored stalk. Digital vaginal examination indicated that the stalk of tissue extended up into the cervix and beyond. Due to the grossly necrotic appearance, the stalk of tissue was ligated, and the sac was removed. Three puppies were delivered vaginally, but a subsequent caesarian section was required due to uterine inertia likely secondary to exhaustion. Three more live puppies were delivered via the c-section. Further abdominal exploration revealed a tear in the left vaginal wall, one ligated ureter, and the second ureter free at its distal end and leaking urine into the abdomen. The surgical findings indicated that the bladder, ureters, and urethra had herniated through the vaginal tear and prolapsed through the vulva.  相似文献   

An investigation of the concentrations of selected Fusarium mycotoxins and the degree of mold contamination of field-dried hay     

BSc S.L. Raymond  MSc  PhD M. Heiskanen  BSc  MSc  PhD T.K. Smith  PhD M. Reiman  PhD S. Laitinen  BVSc  PhD A.F. Clarke 《Journal of Equine Veterinary Science》2000,20(10)

The levels of selected mycotoxins and mold contamination of Ontario field-dried hay from 10 performance horse farms were examined. The farm owner, trainer or manager was questioned regarding their opinion of the quality of the hay. Half of the hay sampled showed potentially significant levels of mycotoxins, mold and actinomycete contamination. Subjective opinion did not correlate to objective analysis. Deoxynivalenol (vomitoxin), T 2 toxin and zearalenone were measured with vomitoxin present in the highest amounts. Vomitoxin is among the mycotoxins most frequently found as contaminants in cereal crops, in temperate climates, in North America. It can be concluded that the levels found in this study could potentially have an influence on the health of horses consuming such hay.  相似文献   

CORRELATIVE IMAGING FINDINGS IN SEVEN DOGS AND ONE CAT WITH SPINAL ARACHNOID CYSTS     

Annabelle M.  Galloway  BVSc  Nia C.  Curtis  BVSc  Susan F.  Sommerlad  BVSc  Philip R.  Watt  BVSc 《Veterinary radiology & ultrasound》1999,40(5):445-452

Information regarding 7 dogs and 1 cat with a spinal arachnoid cyst is presented. All patients were evaluated with survey radiographs and myelography. Computed tomography (CT) following myelography, magnetic resonance (MR) imaging, and sonography, were used in some of the patients. These imaging techniques were evaluated to determine their efficacy in diagnosing arachnoid cysts, ascertaining the extent and internal cyst architecture and detecting associated spinal cord abnormalities. Survey radiographs were nondiagnostic in all patients. Myelographically, the arachnoid cyst was visible in all patients, with partial blockage to flow of contrast medium. CT provided additional information on localization and lateralization of the cyst, and allowed measurement of the degree of spinal cord compression. MR imaging enabled identification of an associated syringomyelia. Sonography was useful for defining the cyst wall and characterizing the internal architecture of the cyst cavity and adjacent spinal cord. Measurements of the degree of spinal cord compression could be made and were similar to measurements made from CT. Additionally, sonography was considered a useful technique for orientating the surgeon to the location and extent of the cyst. In the absence of the availability of CT or MR imaging for evaluating patients with an arachnoid cyst, sonography is considered a valuable technique for directly assessing the spinal cord for associated disease. Decompressive surgery was performed on 4 dogs and 1 cat, all with successful outcomes.  相似文献