Hepatic emphysema associated with ultrasound-guided liver biopsy in a dog |
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| Authors: | Frida Westgren Tove Hjorth Margareta Uhlhorn Pernille E Etterlin Charles J Ley |
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| Institution: | 1.Department of Diagnostic Imaging, University Animal Hospital, Swedish University of Agricultural Sciences, Box 7040, Uppsala 75007, Sweden;2.Division of Pathology, Pharmacology and Toxicology, Department of Biomedical Sciences and Veterinary Public Health, Swedish University of Agricultural Sciences, Uppsala 75007, Sweden;3.Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala 75007, Sweden |
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| Abstract: | An eleven-year-old Chinese Crested Powder Puff dog presented with polydipsia/polyuria, inappetence, diarrhea and vomiting underwent an ultrasound-guided percutaneous liver biopsy. Two days post-biopsy the clinical condition of the dog acutely deteriorated with fever, dyspnea, ataxia and subcutaneous emphysema. Radiographs and ultrasound showed focal severe hepatic emphysema in the region of the previous liver biopsy. Post-mortem examination revealed chronic hepatitis with dissecting fibrosis, acute hepatitis with hemorrhage and in the hindlimb musculature extensive hemorrhage and necrosis. Pure cultures of the gas producing bacteria Clostridium perfringens were isolated in samples from the hind limb musculature. We propose that the hepatic emphysema in the region of the biopsy site was a result of a clostridial infection. |
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| Keywords: | Septicemia Bacteriemia Complication Clostridium perfringens Gas |
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