■腹部脂肪坏死主要是直肠检查期间的偶然发现,表现为存在不同大小的硬坏死肿块。鉴别诊断包括胃肠道肿瘤,腹部脓肿和胎儿木乃伊。本报告描述了临床,血液学,生物化学,超声检查,和腹部脂肪坏死的雌性阿拉伯骆驼(骆驼单周性)的病理发现。
■自几个月前以来,由于虚弱和体重逐渐下降,一只7岁的雌性单峰骆驼被提出进行检查。驱虫药,镇痛药,广谱抗微生物剂,服用了抗炎药和胃药,但并未导致明显改善。该病例的初步检查显示消瘦,身体状况评分为2.5(1-5级)。心肺,消化性,通过卧位超声检查经皮评估泌尿系统。观察到位于肠环内的多个回声肿块,同时很少有低回声肿块。还检测到高回声性腹膜积液和肠系膜淋巴结肿大。血细胞比容值降低,正常细胞正常色素性贫血,嗜中性白细胞增多症,低蛋白血症,高球蛋白血症,高血糖症,低钠血症,检测到高钾血症。一个自由的手,超声引导下活检进行组织病理学检查,发现腹部多发脂肪坏死,严重纤维化,和胰腺炎。
■得出的结论是,骆驼的经腹超声检查对于可疑的腹部肠系膜肿块很有价值,并且有助于采样代表性的活检标本。活检的组织学检查仍然是最终的诊断方法。
UNASSIGNED: Abdominal fat necrosis is mostly an incidental finding during rectal examination manifested by the presence of hard necrotic masses of different sizes. Differential diagnosis includes gastrointestinal neoplasia, abdominal abscessation and mummified fetuses. This report describes the clinical, hematological, biochemical, sonographic, and pathologic findings in a female Arabian camel (Camelus dromedaries) with abdominal fat necrosis.
UNASSIGNED: A 7-year-old female dromedary camel was presented for examination because of weakness and progressive weight loss since months ago. Anthelmintics, analgesics, broad-spectrum antimicrobials, anti-inflammatories and stomachics were administered, but did not result in significant improvement. Preliminary examination of the case revealed emaciation with a body condition score of 2.5 (scale 1-5). The cardiopulmonary, digestive, and urinary systems were evaluated transcutaneously by sonography in the recumbent position. Multiple echogenic masses-located within the intestinal loops were observed alongside few hypoechogenic masses. A hyperechogenic peritoneal effusion and enlarged mesenteric lymph nodes were also detected. Decreased hematocrit value, normocytic normochromic anemia, neutrophilic leukocytosis, hypoalbuminemia, hhyperglobulinemia, hyperglycemia, hyponatremia, and hyperkalemia were detected. A free-hand, ultrasound-guided biopsy was examined histopathologically and revealed multiple abdominal fat necrosis, severe fibrosis, and pancreatitis.
UNASSIGNED: It is concluded that, transabdominal ultrasonography in camels was valuable for suspicious of abdominal mesenteric masses and helpful in sampling of a representative biopsy specimen However, histological examination of the biopsy remains the final diagnostic method.