Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지

Gallbladder Agenesis in a Miniature Pinscher : Computed Tomographic and Ultrasonographic Features

담낭 무형성을 가진 미니어쳐 핀셔에서 컴퓨터단층촬영과 초음파 특징

  • Kim, Seung-Gon (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Min-Hee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • 김승곤 (건국대학교 수의과대학 내과학교실) ;
  • 강민희 (건국대학교 수의과대학 내과학교실) ;
  • 박희명 (건국대학교 수의과대학 내과학교실)
  • Accepted : 2013.04.11
  • Published : 2013.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

A 4-year-old spayed female Miniature Pinscher was presented with a 3.5-year history of elevated liver enzymes level. Continuous elevation of liver enzymes was found on repeated blood examinations and the dog was referred for further evaluation. The abdominal ultrasonography revealed that the gallbladder could not be visualized in any plane. The absence of gallbladder was suspected on ultrasonography. Computed tomography (CT) confirmed gallbladder agenesis (GBA). This is the first reported case of diagnosis of GBA in Miniature Pinscher by using CT.

4살령의 중성화된 암컷 미니어쳐 핀셔가 3년 5개월 동안의 지속적인 간효소 수치 상승으로 본원으로 내원하였다. 간효소 수치의 지속적인 상승은 반복적인 혈액검사를 통해 확인하였으며, 간효소 수치 상승 원인에 대한 정확한 진단을 위하여 추가적인 검사가 진행 되었다. 복부초음파검사에서 복강내의 어느 단면에서도 담낭을 확인할 수 없었다. 복부초음파검사에서 담낭의 무형성을 의심하였으며 컴퓨터단층촬영을 통해 담낭 무형성을 확인하였다. 이 증례는 미니어쳐 핀셔에서 컴퓨터단층촬영을 이용하여 담낭 무형성을 진단한 첫번째 증례보고이다.

Keywords

References

  1. Akoh JA, George MM, Auld CD, Walls AD. Congenital absence of the gallbladder: ways of avoiding laparotomy. Br J Clin Pract 1994; 48: 77-78.
  2. Austin B, Tillson DM, Kuhnt LA. Gallbladder agenesis in a Maltese dog. J Am Anim Hosp Assoc 2006; 42: 308-311. https://doi.org/10.5326/0420308
  3. Baltazar U, Dunn J, Gonzalez-Diaz S, Browder W. Agenesis of the gallbladder. South Med J 2000; 93: 914-915. https://doi.org/10.1097/00007611-200093090-00016
  4. Belli G, D'Agostino A, Iannelli A, Rotondano G, Ceccarelli P. Isolated agenesis of the gallbladder. Minerva Chir 1997; 52: 1119-1121.
  5. Bennion RS, Thompson JEJr, Tompkins RK. Agenesis of the gallbladder without extrahepatic biliary atresia. Arch Surg 1988; 123: 1257-1260. https://doi.org/10.1001/archsurg.1988.01400340083014
  6. Center SA, Warner KL, McCabe J, Foureman P, Hoffmann WE, Erb HN. Evaluation of the influence of S-adenosylmethionine on systemic and hepatic effects of prednisolone in dogs. Am J Vet Res 2005; 66: 330-341. https://doi.org/10.2460/ajvr.2005.66.330
  7. Cho CH, Suh KW, Min JS, Kim CK. Congenital absence of gallbladder. Yonsei Med J 1992; 33: 364-367. https://doi.org/10.3349/ymj.1992.33.4.364
  8. Dell'Abate P, Iosca A, Galimberti A, Faraci R, Soliani P, Foggi E. Agenesis of the gallbladder found at laparoscopy in an adult patient with cardiac congenital malformation. Dig Surg 2000; 17: 284-286. https://doi.org/10.1159/000018851
  9. Demircan M, Uguralp S, Mutus M, Kutlu R, Mizrak B. Teratoma arising from anomalous common bile duct: a case report. J Pediatr Surg 2004; 39: 1-2. https://doi.org/10.1016/j.jpedsurg.2003.09.006
  10. Jackson RJ, McClellan D. Agenesis of the gallbladder. A cause of false-positive ultrasonography. Am Surg 1989; 55: 36-40.
  11. Jain BK, Das DN, Singh RK, Kukreti R, Dargan P. Agenesis of gallbladder in symptomatic patients. Trop Gastroenterol 2001; 22: 80-82.
  12. Kamal EB. Agenesis of the gallbladder: Difficulties in management. J Gastroentero and Hepato 2005; 20: 671-675. https://doi.org/10.1111/j.1440-1746.2005.03740.x
  13. Kamishina H, Katayama M, Okamura Y, Sasaki J, Chiba S, Goryo M, Sato R, Yasuda J. Gallbladder Agenesis in a Chihuahua. J Vet Med Sci 2010; 72: 959-962. https://doi.org/10.1292/jvms.09-0534
  14. Leveille-Webster CR. History, clinical sign, and physical finding inhepatobiliary disease. In: Ettinger SJ, Feldman EC, eds. Textbook of Veterinary Internal Medicine. 7th ed. St. Louis: Saunders Elsevier, 2010; 1612-1628.
  15. Liptak JM, Swinney GR, Rothwell TL, Hunt GB. Aplasia of the gallbladder in a dog. J Small Anim Pract 2000; 41: 175-177. https://doi.org/10.1111/j.1748-5827.2000.tb03190.x