• 제목/요약/키워드: portography

검색결과 6건 처리시간 0.018초

실험적 간문맥 분지 결찰 개에서 방사선학적 및 혈청화학적 변화 (Radiographic and biochemical changes in dogs with experimental portal vein branch ligation)

  • 이영원;윤정희
    • 대한수의학회지
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    • 제38권3호
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    • pp.674-678
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    • 1998
  • Radiograph and serum activities were investigated in six dogs with experimental portal vein branch ligation. Operative mesenteric portography showed the incomplete portal vein circulation due to ligation of portal vein branch. Several serum enzyme activities were measured after portal vein branch ligation. Albumin and total protein were decreased following the time. Others were increased. In microscopic findings, hepatocellular necrosis and haemorrhage were identified in midzone and centrilobular zone. And reverse lobulation pattern was found in dogs with portal vein branch ligation.

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개에서 문맥홀정맥단락의 진단 영상 및 치료 1 례 (Diagnostic Imaging and Treatment of Portoazygous Shunt in a Dog)

  • 정주현;권도형;장진화;윤정희;최민철
    • 한국임상수의학회지
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    • 제26권1호
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    • pp.86-90
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    • 2009
  • An intact female, 5-year old, Shihtzu, weighing 3.2 kg with a history of depression, hypersalivation, dullness, and ataxia for 3 days was referred. Radiographic findings included microhepatica, bilateral renal calculi, and a cystic calculus. Ultrasonography showed microhepatica, decreased visibility of portal veins in the liver, bilateral renal calculi, a cystic calculus, and an abnormal tortuous dilated vessel in the craniodorsal abdomen. A single congenital extrahepatic portoazygous shunt was confirmed through operative mesenteric portography. The patient received surgery using an ameroid constrictor ring and recovered well.

개의 단순 간내성 간문맥전신단락증의 영상진단학 및 치료 1예 (Radiographic and Ultrasonographic Diagnosis of Single Intrahepatic Portosystemic Shunt in a Dog)

  • 전혜영;장동우
    • 한국임상수의학회지
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    • 제20권4호
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    • pp.508-515
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    • 2003
  • A 4-month-old 5.7 kg male Golden retriever with history of seizure, depression, lethargy and anorexia was referred to Veterinary Medical Teaching Hospital, Chungbuk National University. Hematologic examination revealed microcytosis and nonregenerative anemia. Serum chemical values showed increased serum ammonia (423 $\mu$mol/L), ALP (1101 U/L), r-GTP (13.9 U/L) and CPK (1454 U/L), and decreased total protein (4.9 g/dl) and BUN (1.6 mg/dl). Microhepatia was shown in survey abdominal radiographs. Color doppler ultrasonographic examination revealed dilated tortuous vein with turbulent flow within liver parenchyma. Intraoperative jejunoportography and intraoperative ultrasonography confirmed the location and size of single intrahepatic shunt vessel in the left medial liver lobe. Also, the anomalous vessel entering the caudal vena cava was identified beneath the diaphragm. The shunting vessel was ligated with using an Ameroid constrictor. General conditions, hematologic and serum chemical values resolved gradually after surgery. One month after surgery abdominal radiograph showed normal gastric axis and it was consistent whit the normal size liver. Normal echogenecity of liver and enlargement of portal vein were shown in ultrasonography. It is assumed that survey radiography and ultrasonography are useful for diagnosis of single intrahepatic shunt in a dog and especially jejunoportography vein portography and intraoperative ultrasonography are suitable for confirmation of the anatomic location and size of the shunting vessels.

Ameroid Constrictor를 이용한 개에서의 단순 간외성 간문맥전신단락증의 치료 (Surgical Correction of Single Extrahepatic Portosystemic Shunt Using Ameroid Constrictor in a Dog)

  • 정성목;이충호;양정환;김완희;최민철;윤정희;이주명;권오경;남치주
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.442-447
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    • 2001
  • A 2-year-old 4.0-kg female Shih Tzu with history of hematemesis and melena was referred to Veterinary Medical Teaching Hospital, Seoul national University for further evaluation and treatment. During physical examination, the dog revealed mild depression, dry mucous membrane and abdominal pain. Hematologic values were normal and serum chemical values showed increased serum bile acid (53.47 umol/l, preprandial), fasting serum ammonia concentration (184 g/dl), alanine transferase (98 U/L), alkaline phosphatase (871 U/L) and gamma glutamyl transpeptidase (21 U/L), and decreased blood urea nitrogen (4 mg/dl), total protein (4.1 g/dl) and albumin (1.2 g/dl). Microhepatica was shown in abdominal radiography. During the ultrasound examination, dilated tortuous vein communicating with caudal vena cava ws observed near the stomach. Intraoperative jejunal vein portography was performed during laparotomy to confirm the location and size of shunt vessel. According to history taking, physical examination, hematologic and serum chemical examination and radiographic study, it was diagnosed as single extrahepatic portosystemic shunt. The anomalous vessel (7 mm, o.d.) that enter the caudal vena cava from the left gastric vein, near the level of the diaphragm, was identified. A Ameroid constrictor (5 mm, i.d.) was applied to the shunting vessel near the caudal vena cava. Hematologic and serum chemical values recovered gradually and were revealed normal values 4 months after surgery. Four month after surgery serum bile acids concentrations were 0.56 $\mu$mol/l (preprandial) and 18.45 umol/l (postprandial). Abdominal radiograph showed normal gastric axis and it revealed normal size of the liver. Fine texture and increased echogenecity of liver and enlargement of portal vein were shown in ultrasonography. Single extrahepatic portosystemic shunt might be treated surgically using Ameroid constrictor.

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Detection of Malignant Primary Hepatic Neoplasms with Gadobenate Dimeglumine (Gd-BOPTA) Enhanced T1-Weighted Hepatocyte Phase MR Imaging: Results of Off-site Blinded Review in a Phase-II Multicenter Trial

  • Constantino S. Pena;Sanjay Saini;Richard L. Baron;Bernd A. Hamm;Giovanni Morana;Roberto Caudana;Andrea Giovagnoni;Andrea Villa;Alessandro Carriero;Didier Mathieu;Michael W. Bourne;Miles A. Kirchin;Gianpaolo Pirovano;Alberto Spinazzi
    • Korean Journal of Radiology
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    • 제2권4호
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    • pp.210-215
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    • 2001
  • Objective: To investigate the efficacy of gadobenate dimeglumine (GdBOPTA) enhanced MR imaging for the detection of liver lesions in patients with primary malignant hepatic neoplasms. Materials and Methods: Thirty-one patients with histologically proven primary malignancy of the liver were evaluated before and after administration of GdBOPTA at dose 0.05 or 0.10 mmol/kg. T1-weighted spin echo (T1W-SE) and gradient echo (T1W-GRE) images were evaluated for lesion number, location, size and confidence by three off-site independent reviewers and the findings were compared to reference standard imaging (intraoperative ultrasound, computed tomography during arterial portography or lipiodol computed tomography). Results were analyzed for significance using a two-sided McNemar's test. Results: More lesions were identified on Gd-BOPTA enhanced images than on unenhanced images and there was no significant difference in lesion detection between either concentration. The largest benefit was in detection of lesions under 1 cm in size (7 to 21, 9 to 15, 16 to 18 for reviewers A, B, C respectively). In 68% of the patients with more than one lesion, Gd-BOPTA increased the number of lesions detected. Conclusion: Liver MR imaging after Gd-BOPTA increases the detection of liver lesions in patients with primary malignant hepatic neoplasm.

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