Ultrasonographic differentiation between portal venous and parenchymal gas may be important for the prognosis of canine and feline hepatic emphysema: 37 cases
| Autor: | Antonella Volta, Eleonora Daga, Ilaria Parroccini, Martina Fabbi, Francesca Miduri, Giacomo Gnudi, Mattia Bonazzi, Sabrina Manfredi, Fabio Leonardi |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty 040301 veterinary sciences Context (language use) Cat Diseases Gastroenterology 030218 nuclear medicine & medical imaging 0403 veterinary science Sepsis 03 medical and health sciences 0302 clinical medicine Blood serum Dogs Internal medicine Parenchyma medicine Animals Dog Diseases Parenchymal Tissue Retrospective Studies Ultrasonography Emphysema CATS General Veterinary business.industry Portal Vein Liver Diseases Significant difference Ultrasound 04 agricultural and veterinary sciences respiratory system medicine.disease Prognosis respiratory tract diseases Cross-Sectional Studies Clinical diagnosis Cats Female Gases business |
| Zdroj: | Veterinary radiologyultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology AssociationREFERENCES. 60(6) |
| ISSN: | 1740-8261 |
| Popis: | The aim of this retrospective, cross-sectional, study was to evaluate clinical findings and outcomes for different ultrasonographic patterns of hepatic emphysema in dogs and cats. Dogs and cats with an ultrasonographic diagnosis of hepatic emphysema and a known outcome, from January 2010 to January 2018, were enrolled. The following data were recorded from medical and ultrasonographic records: ultrasonographic patterns of hepatic emphysema (parenchymal, portal venous, biliary), clinical signs, laboratory findings, and outcomes (favorable, poor). A total of 33 dogs and four cats met the inclusion criteria. Among these, 23 cases were classified as hepatic portal venous gas, 10 as parenchymal emphysema, and four as biliary emphysema. Clinical diagnosis categories were as follows: infection/sepsis (9), gastro-intestinal disease (9), iatrogenic (9), trauma (5), and liver neoplasia (5). An increase in serum liver enzymes was significantly associated with parenchymal emphysema (P = .03). Other clinical and laboratory findings were not associated with the type of hepatic emphysema. Hepatic portal venous gas was mostly transient in patients with ultrasonographic follow-up. The overall mortality was 40.5%. A significant difference was found between mortality by portal venous gas (21.7%) and mortality by parenchymal emphysema (90%) (P = .003). In conclusion, the ultrasonographic differentiation of hepatic emphysema between hepatic portal venous gas and parenchymal emphysema may be important for the prognosis of hepatic emphysema. The presence of parenchymal emphysema may be a poor prognostic indicator, while hepatic portal venous gas may be more benign. However, ultrasound findings should be carefully evaluated in the context of clinical findings. |
| Databáze: | OpenAIRE |
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