Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지

Laparoscopic Retrieval of Ectopic Adult Heartworms from the Abdominal Cavity of a Dog with Heartworm Infestation

심장사상충 복강내 이소기생 개에서 복강경적 치료 1예

  • Kang, Min-Hee (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Song, Kun-Ho (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University) ;
  • Lim, Chae-Yung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases and Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 강민희 (건국대학교 수의과대학 내과학교실) ;
  • 송근호 (충남대학교 수의과대학 내과학교실) ;
  • 임채영 (건국대학교 수의과대학 내과학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Accepted : 2011.12.13
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

A 5-year-old, intact male Beagle was presented with chronic abdominal pain. The dog was diagnosed with dirofilariasis by positive heartworm antigen detection via ELISA and concurrent microfilaria. Thoracic radiographs revealed cardiomegaly with dilation of the main pulmonary artery. Echocardiography revealed the adult worms in the main pulmonary arteries, but other abnormalities other than heartworm infection were not present. To find the cause of the abdominal pain, exploratory laparoscopy was performed. Ectopic migrating adult heart worms were visualized through exploratory laparoscopy and the clinical sign resolved after removing the heart worm. This report describes removing the ectopic migrating adult heartworms using exploratory laparoscopy in the abdominal cavity.

5년령의 수컷 비글견이 복통을 주증으로 내원하였다. 환자는 ELISA를 통한 심장사상충 항원 검사 및 자충검사에 양성결과를 보여, 심장사상충 감염증이 확인되었다. 흉부 방사선 검사에서 심비대 및 폐동맥 확장증 소견이 관찰 되었으며, 심초음파를 통하여 주 폐동맥 내의 심장사상충이 확인 되었다. 심초음파상 사상충 감염 이외의 다른 이상은 발견되지 않았다. 복통에 대한 정확한 원인 규명을 위하여 탐색적 복강경 시술이 시행되었으며, 환축에서 복강으로 이소기생한 심장사상충이 관찰되었다. 복강내 심장사상충의 제거 이후 환축의 임상증상은 사라졌다. 본 증례는 탐색적 복강경을 통하여 복강내 이소기생한 심장사상충을 제거한 증례 보고이다.

Keywords

References

  1. Atkins C. Canine heartworm disese. In: Ettinger SJ, Feldman EC. Textbook of Veterinary Internal Medicine, 6th ed. St Louis: Saunders, 2005: 1134.
  2. Goggin JM, Biller DS, Rost CM, DeBey BM, Ludlow CL. Ultrasonographic identification of Dirofilaria immitis in the aorta and liver of a dog. J Am Vet Med Assoc 1997; 210: 1635-1637.
  3. Gower S, Mayhew P. Canine laparoscopic and laparoscopicassisted ovariohysterectomy and ovariectomy. Compend Contin Educ Vet 2008; 30: 430-440.
  4. Hoch H, Strickland K. Canine and feline dirofilariasis: life cycle, pathophysiology, and diagnosis. Compend Contin Educ Vet 2008; 30: 133-140.
  5. Kolts RL, Nelson RS, Park R, Heikenen J. Exploratory laparoscopy for recurrent right lower quadrant pain in a pediatric population. Pediatr Surg Int 2006; 22: 247-249. https://doi.org/10.1007/s00383-005-1632-1
  6. Mazzaferro EM. Triage and approach to the acute abdomen. Clin Tech Small Anim Pract 2003; 18: 1-6. https://doi.org/10.1016/1096-2867(03)90020-X
  7. Miller JM, Fowler JD. Laparoscopic portosystemic shunt attenuation in two dogs. J Am Anim Hosp Assoc 2006; 42:160-164. https://doi.org/10.5326/0420160
  8. Monnet E, Twedt D. Laparoscopy. Vet Clin North Am Small Anim Pract 2003; 33: 1147-1163. https://doi.org/10.1016/S0195-5616(03)00058-5
  9. Rawlings CA. Effect of monthly heartworm preventatives on dogs with young heartworm infections. J Am Anim Hosp Assoc 2002; 38: 311-314. https://doi.org/10.5326/0380311
  10. Richter KP. Laparoscopy in dogs and cats. Vet Clin North Am Small Anim Pract 2001; 31: 707-727. https://doi.org/10.1016/S0195-5616(01)50067-4
  11. Tada I, Sakaguchi Y, Eto K. Dirofilaria in the abdominal cavity of a man in Japan. Am J Trop Med Hyg 1979; 28: 988-990. https://doi.org/10.4269/ajtmh.1979.28.988
  12. Walters PC. Approach to the acute abdomen. Clin Tech Small Anim Pract 2000; 15: 63-69. https://doi.org/10.1053/svms.2000.6806
  13. Webb CB, Trott C. Laparoscopic diagnosis of pancreatic disease in dogs and cats. J Vet Intern Med 2008; 22: 1263-1266. https://doi.org/10.1111/j.1939-1676.2008.0176.x