Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Recurrence of Choledocholith in the Common Bile Duct after Cholecystectomy in a Dog

개에서 담낭절제술 후 총담관에 재발한 총담관결석증

  • Chang, Jin-Hwa (College of Veterinary Medicine, Chungbuk National University) ;
  • Yun, Seok-Ju (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Ju-Hyung (College of Veterinary Medicine, Chungbuk National University) ;
  • Kang, Ji-Houn (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Gon-Hyung (College of Veterinary Medicine, Chungbuk National University) ;
  • Na, Ki-Jeong (College of Veterinary Medicine, Chungbuk National University) ;
  • Chang, Dong-Woo (College of Veterinary Medicine, Chungbuk National University)
  • 장진화 (충북대학교 동물의료센터) ;
  • 윤석주 (충북대학교 동물의료센터) ;
  • 김주형 (충북대학교 동물의료센터) ;
  • 강지훈 (충북대학교 동물의료센터) ;
  • 김근형 (충북대학교 동물의료센터) ;
  • 나기정 (충북대학교 동물의료센터) ;
  • 장동우 (충북대학교 동물의료센터)
  • Accepted : 2010.09.27
  • Published : 2010.10.30
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Abstract

A 10-year-old spayed female Yorkshire terrier presented with vomiting, and anorexia. Obstructive choledocholith with concurrent pancreatitis and hepatorenal syndrome was diagnosed based on analyses of the blood profiles, abdominal radiographs, ultrasonography and CT. Choledoliths were removed from the common bile duct, yet the patient died suddenly 10 days after surgery. Recurrent choledolithiasis has not been reported in a cholecystectomized dog and this report focuses on the imaging features of ultrasonography and CT of recurrent choledoliths.

10년령의 중성화 암컷 요크셔 테리어가 구토와 식욕부진으로 내원하였다. 신체검사, 혈액검사 및 복부 방사선 초음파검사와 컴퓨터단층촬영 검사 결과 췌장염, 간신증후군을 동반한 폐쇄성 총담관결석으로 진단되었다. 수술적으로 총담관결적을 제거하였으나, 10일 후 사망하였다. 본 증례를 통하여 담낭절제술을 한 환자에서 재발성 담관 결석, 췌장염과 같은 합병증에 대한 정기적인 모니터링이 필요하고, 진단 및 수술에 대한 정확한 평가를 위해 CT가 유용함을 알수 있었다.

Keywords

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