Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Single Extrahepatic Portosystemic Shunt in 3 Dogs: CT Findings and Progress

3마리의 개에서 발생한 단일 간외성 문맥전신 단락 증례

  • Lee, Hee-Chun (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Ji, Chang-Moo (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Moon, Jong-Hyun (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Cho, Kyu-Woan (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Kim, Young-Ki (Research Institute of Life Sciences, Gyeongsang National University) ;
  • Kang, Byeong-Teck (Laboratory of Veterinary Dermatology and Neurology, College of Veterinary Medicine, Chungbuk National University) ;
  • Jung, Dong-In (Research Institute of Life Sciences, Gyeongsang National University)
  • 이희천 (경상대학교 생명과학연구원) ;
  • 지창무 (경상대학교 생명과학연구원) ;
  • 문종현 (경상대학교 생명과학연구원) ;
  • 조규완 (경상대학교 생명과학연구원) ;
  • 김영기 (경상대학교 생명과학연구원) ;
  • 강병택 (충북대학교 수의과대학) ;
  • 정동인 (경상대학교 생명과학연구원)
  • Accepted : 2012.12.16
  • Published : 2012.12.31
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Abstract

Two Maltese (2-year-old, intact female and 4-month-old, intact female) and a Pekingese (10-year-old, intact male) dogs were referred due to vomiting, anorexia, head-pressing and hypersalivation. Physical examinations, complete blood count, serum chemical analysis, radiography, ultrasonography and computed tomography (CT) were evaluated. Laboratory findings in these dogs included high hepatic enzyme, serum bile acid and ammonia concentration. Microhepatia was found on abdominal radiographs in two dogs. The existence of portosystemic shunt was presented in abdominal ultrasonography. The shunt vessel was identified in all dogs by CT imaging. Based on three-dimensional CT reconstruction, the origin and termination of each shunt vessel were defined certainly. In consequence, each dog was diagnosed single extrahepatic portosystemic shunt. After diagnosis, surgical treatment was performed in all dogs. This case report describes clinical finding, imaging characteristics, and three-dimensional CT imaging of single extrahepatic portosystemic shunt cases.

두 마리의 말티즈견 (2살 중성화 암컷, 4개월 암컷)과 한 마리의 페키니즈견 (10살 수컷)이 구토, 식욕부진, 두위하강과 침흘림 등의 증상으로 내원하였다. 신체검사, 혈액검사, 방사선검사, 초음파, 컴퓨터단층촬영이 진단을 위해 실시되었다. 실험실 검사에서 높은 간수치, 담즙산 수치, 암모니아 농도가 세 마리 모두에서 확인되었다. 두 마리의 환축에서 방사선검사 상 소간증이 확인되었다.복부 초음파 검사에서 세 마리 모두 문맥전신 단락이 많이 의심되어 컴퓨터단층촬영을 실시하였고, 그 결과 모두 단일 간외성 문맥전신 단락으로 확인되었다. 진단 후 세마리는 모두 수술적인 방법을 통해 단락 혈관에 아메로이드 링을 적용하였다. 본 증례보고는 세 마리의 개에서 발생한 단일 간외성 문맥전신 단락 증례에 대한 임상적, 영상학적인 특징들을 잘 나타내고 있으며, 컴퓨터단층촬영이 문맥전신단락의 정확한 진단을 위해 유용한 진단기법임을 잘 나타내고 있다.

Keywords

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