tailieunhanh - Báo cáo khoa học: "Cholelithiasis associated with recurrent colic in a Thoroughbred mare"

Tuyển tập các báo cáo nghiên cứu khoa học quốc tế về bệnh thú y đề tài: Cholelithiasis associated with recurrent colic in a Thoroughbred mare | J. Vet. Sci. 2004 5 1 79-82 JOURNAL OF Case Report Veterinary Science Cholelithiasis associated with recurrent colic in a Thoroughbred mare Seung-ho Ryu Ung-bok Bak Chang-woo Lee1 and Yonghoon Lyon Lee2 Equine Hospital Korea Racing Association Kwachon 427-070 Korea 1 Department of Clinical Pathology College of Veterinary Medicine Seoul National University Seoul 151-742 Korea LDepartment of Anesthesia Pain Management and Perioperative Medicine Boren Veterinary Medical Teaching Hospital and College of Veterinary Medicine Oklahoma State University Stillwater OK 74074 USA A 13-year-old Thoroughbred mare retired from race was admitted to Equine Hospital Korea Racing Association with signs of colic. One and a half months following the previous treatment second time and 11 days following her previous discharge third time the mare repeatedly exhibited signs of colic and finally along with icteric eyes. Routine medical treatment with intravenous fluids analgesics resulted in resolution of signs of colic in the first and second admission. The condition of the mare did not improve in the third admission despite over one month supportive treatment and she was subject to euthanasia at the request of the owner on the thirtyeighth day of hospitalization 95 days from her first admission . The clinical signs fever icterus mild intermittent colic in conjunction with clinical laboratory findings leukocytosis elevations of serum total bilirubin direct bilirubin alkaline phosphatase aspartate aminotransferase gamma glutamyl transferase creatine phosphokinase lactic dehydrogenase and blood fibrinogen indicative of obstructive biliary disease in this mare suggested possible chlolelithiasis. However liver enzymes and bilirubin estimations are often not part of routine screening in emergency colic cases. At necropsy multiple dark brown choleliths of various sizes obstructing hepatopancreatic ampulla were found in the hepatic duct. The choleliths were found as large as 3-5 cm in diameter .

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