한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제32권6호
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  • Pages.514-518
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  • 2015
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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고양이에서 발생한 난소 잔존 증후군에 대하여 복강경을 이용한 치료 증례 1

Laparoscopic Treatment of Ovarian Remnant Syndrome in a Queen

  • 박지영 (충남대학교 수의과대학, 동물의과학 연구소) ;
  • 이해범 (충남대학교 수의과대학, 동물의과학 연구소) ;
  • 정성목 (충남대학교 수의과대학, 동물의과학 연구소)
  • Park, Jiyoung (College of Veterinary Medicine.Research institute of Veterinary Medicine, Chungnam National University) ;
  • Lee, Hae-Beom (College of Veterinary Medicine.Research institute of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong Mok (College of Veterinary Medicine.Research institute of Veterinary Medicine, Chungnam National University)
  • 심사 : 2015.12.21
  • 발행 : 2015.12.31
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초록

1년령의 중성화 암컷, 2.35 kg의 아메리칸 숏헤어 고양이가 난소 자궁 절제술을 실시한 후 3개월 시점으로부터 2개월간 지속된 발정 증상을 주증으로 내원하였다. 방사선 및 초음파 검사상, 양쪽 신장 후방에 위치한 낭성 구조물을 확인하였고, 이는 혈액검사상 나타난 고에스트로겐혈증을 고려하여 난소 조직으로 의심되었다. 복강경을 이용한 복강 탐색을 실시하였고, 양측 신장 후방의 낭성 병변을 초음파 수술도를 이용하여 절제하였다. 환자는 특이사항 없이 회복하여 술 후 2년간 증상의 재발 없이 지내고 있다. 증례를 통하여, 선택적 난소 절제술뿐만 아니라 잔존 난소의 경우에도 복강경을 유용하게 적용할 수 있음을 확인하였다.

A 1-year-old, 2.35 kg spayed female American short hair cat was referred with episodic signs of heat at 3 months after ovariohysterectomy. Through the screening tests, bilateral cystic, ovary like masses were shown at the caudal to both kidneys with high serum estradiol concentration. It was considered that the patient was suffered from ovarian remnant syndrome. Laparoscopic exploration was performed, and each of mass lesions was resected by ultrasonic scalpel. Patient was recovered favorably and has been doing well without recurrence of estrus signs until 2 years after surgery.

키워드

참고문헌

  1. Abu-Rafeh B, Vilos GA, Misra M. Frequency and laparoscopic management of ovarian remnant syndrome. J Am Assoc Gynecol Laparosc 2003; 10: 33-37. https://doi.org/10.1016/S1074-3804(05)60231-9
  2. Ball RL, Birchard SJ, May LR, Threlfall WR, Young GS. Ovarian remnant syndrome in dogs and cats: 21 cases (2000-2007). J Am Vet Med Assoc 2010; 236: 548-553. https://doi.org/10.2460/javma.236.5.548
  3. Demirel MA, Acar DB. Ovarian remnant syndrome and uterine stump pyometra in three queens. J Feline Med Surg 2012; 14: 913-918. https://doi.org/10.1177/1098612X12451373
  4. DeNardo GA, Becker K, Brown NO, Dobbins S. Ovarian remnant syndrome: revascularization of free-floating ovarian tissue in the feline abdominal cavity. J Am Anim Hosp Assoc 2001; 37: 290-296. https://doi.org/10.5326/15473317-37-3-290
  5. de Sousa Oliveira K, Silva MAM, Brun MV, Perez-Gutierrez JF, Toniollo GH. Ovarian remnant syndrome in small animals. Semina: Ciencias Agrarias 2012; 33: 363-380. https://doi.org/10.5433/1679-0359.2012v33n1p363
  6. Dresner EO, Norsworthy GD. Estrus in a spayed cat. Today's Veterinary Practice 2013; 3: 61-63.
  7. Heffelfinger DJ. Ovarian remnant in a 2-year-old queen. Can Vet J 2006; 47: 165-167.
  8. Hutchison R. Laparoscopic spay of the female canine and feline. In: Small animal endoscopy, 3rd ed. St.Louis: Elsevier Mosby. 2011: 466-477.
  9. Kho RM, Magrina JF, Magtibay PM. Pathologic findings and outcomes of a minimally invasive approach to ovarian remnant syndrome. Fertil Steril 2007; 87: 1005-1009. https://doi.org/10.1016/j.fertnstert.2006.12.075
  10. Little S. Feline Reproduction: Problems and clinical challenges. J Feline Med Surg 2011; 13: 508-515. https://doi.org/10.1016/j.jfms.2011.05.008
  11. Miller DM. Ovarian remnant syndrome in dogs and cats: 46 cases (1988-1992). J Vet Diagn Invest 1995; 7: 572-574. https://doi.org/10.1177/104063879500700432
  12. Musal B, Tuna B. Surgical therapy of complicated uterine stump pyometra in five bitches: a case report. Vet Med- Czech 2005; 50: 558-562.
  13. Naiman JH, Mayhew PD, Steffey MA, Culp WT, Runge JJ, Singh A. Laparoscopic treatment of ovarian remnant syndrome in dogs and cats: 7 cases (2010-2013). J Am Vet Med Assoc 2014; 245: 1251-1217. https://doi.org/10.2460/javma.245.11.1251
  14. Nezhat C, Kearney S, Malik S, Nezhat C, Nezhat F. Laparoscopic management of ovarian remnant. Fertil Steril 2005; 83: 973-978. https://doi.org/10.1016/j.fertnstert.2004.12.006
  15. Okkens A, Kooistra H, Nickel R. Comparison of long-term effects of ovariectomy versus ovariohysterectomy in bitches. J Reprod Fertil Suppl 1996; 51: 227-231.
  16. Rawlings CA. Laparoscopic surgery introduction: indication, instrumentation, techniques, and complications. In: Small animal endoscopy, 3rd ed. St.Louis: Elsevier Mosby. 2011: 397-417.
  17. Rota A, Pregel P, Cannizzo FT, Sereno A, Appino S. Unusual case of uterine stump pyometra in a cat. J Feline Med Surg 2011; 13: 448-450. https://doi.org/10.1016/j.jfms.2010.11.013
  18. Sontas B, Gurbulak K, Ekici H. Ovarian remnant syndrome in the bitch: a literature review. Arch Med Vet 2007; 39: 99-104.
  19. van Goethem B, Schaefers-Okkens A, Kirpensteijn J. Making a rational choice between ovariectomy and ovariohysterectomy in the dog: a discussion of the benefits of either technique. Vet Surg 2006; 35: 136-143. https://doi.org/10.1111/j.1532-950X.2006.00124.x
  20. Wallace M. The ovarian remnant syndrome in the bitch and queen. Vet Clin North Am Small Anim Pract 1991; 21: 501-507. https://doi.org/10.1016/S0195-5616(91)50056-5