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Tierarztl Prax Ausg K Kleintiere Heimtiere 2012; 40(03): 211-218
DOI: 10.1055/s-0038-1623637
Kasuistik
Schattauer GmbH

Leberabszess bei einem Hund

Ein FallberichtLiver abscess in a dogA case report
C. Köhler
,
I. Jopp
,
B. Bosch
,
S. Pfeifer
,
M. Alef
,
G. Oechtering
,
I. Kiefer
Further Information

Publication History

Eingegangen: 03 May 2011

Akzeptiert nach Revision: 18 August 2011

Publication Date:
06 January 2018 (online)

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Zusammenfassung

Der vorliegende Fallbericht beschriebt Diagnostik und Therapie eines Leberabszesses bei einem Golden-Retriever-Rüden, der aufgrund von rezidivierendem Fieber, Apathie und Erbrechen vorgestellt wurde. Im Rahmen der bildgebenden Diagnostik (Röntgen, Ultraschall, Computertomographie) wurde im Bereich des linken mittleren Leberlappens ein ca. 10 × 5 cm großer Abszess diagnostiziert. In der Läsion waren multiple Gaseinschlüsse nachweisbar. Es erfolgte eine Lobektomie mit anschließender Omentopexie. Das Tier wurde 4 Tage post operationem bei gutem Allgemeinbefinden und physiologischer Körpertemperatur entlassen. Im vorliegenden Fall erleichterten die multiplen Gaseinschlüsse in den sonographisch ansprechbaren rundlichen und inhomogenen Arealen die Diagnosestellung und Abgrenzung von Differenzialdiagnosen. Die Lobektomie war bei diesem Patienten zielführend. In der Humanmedizin werden weniger invasive Verfahren wie die perkutane Abszessdrainage und gegebenenfalls Alkoholisation der Läsion bevorzugt. Die reine medikamentöse Therapie weist in der Humanmedizin das schlechteste Ergebnis auf.

Summary

The presented case report describes diagnostic and therapy of a liver abscess in a male Golden Retriever dog. The dog was adversely affected by fever, apathy, and vomitus. Diagnostic imaging including radiography, sonography and computed tomography, revealed an abscessforming lesion of 10 × 5 cm in the left middle liver lobe with detectable multiple gas accumulation within the lesion. The surgical therapy included lobectomy with adjacent omentopexy. Four days after the operation the dog was discharged in a good general condition and with physiological body temperature. Detecting multiple gas accumulation in circular, inhomogeneous lesions by sonography allowed confirmation of the diagnosis. Surgical removal of the affected liver lobe led to recovery of the patient. In human medicine, less invasive methods are preferred, e.g. percutaneous drainage and alcoholization of the lesion. Exclusive medicamentous therapy yields the worst outcome in humans.

Schlüsselwörter

Leberabszess - Hund - Sonographie - Lobektomie - Gaseinschlüsse - rezidivierendes Fieber

Key words

Liver abscess - dog - sonography - lobectomy - gas accumulation - recurrent fever
 

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