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πŸ“ μΌ€μ΄μŠ€ μ•„μΉ΄μ΄λΈŒ

μ§„λ‹¨ν•œ μ¦λ‘€λ“€μ˜ 기둝과 견해
Possibly Gastroduodenal Vein Thrombosis due to Severe Pancreatitis
Summary Signalment λ‹₯μŠ€ν›ˆνŠΈ, SF, 12y, 6.3kg CC: ꡬ토 Conclusion Gastroduodenal vein thrombosis Severe pancreatitis Possibly secondary fat stranding, EHBO and duodenitis Key findings 췌μž₯의 λΆˆκ·œμΉ™ν•œ λ³€μ—°, μ’…λŒ€, μ •λ§₯ μ‘°μ˜μƒ 일뢀 μ‹€μ§ˆμ˜ 저감쇄 (red). μ •λ§₯ μ‘°μ˜μƒ κ°„λ¬Έλ§₯ 및 μœ„-십이지μž₯ μ •λ§₯의 쑰영제 좩진 결손 (yellow). 췌μž₯κ³Ό μΈμ ‘ν•œ 볡강 μ§€λ°©μ˜ 고감쇄 (yellow) 십이지μž₯ λ²½ λΉ„ν›„ (mint). μ΄λ‹΄κ΄€μ˜ κ²½λ―Έν•œ ν™•μž₯ (green). 췌μž₯-십이지μž₯ λ¦Όν”„μ ˆ μ’…λŒ€ (blue). Additional findings μ–‘μΈ‘ 뢀신은 단좕 직경 6.3mm μˆ˜μ€€μœΌλ‘œ κ²½λ―Έν•œ μ’…λŒ€ (bilaterally symmetric adrenomegaly) Thrombosis & Pancreatitis
CT
Possible Dx
  • 영민
πŸ‘
1
PPDH (Pleuroperitoneal Diaphragmatic Hernia)
Summary Signalment DSH, CM, 1y, 4.5kg CC: ν˜Έν‘κ³€λž€ Conclusion PPDH Herniation Liver: Rt medial lobe, quadrate lobe, Lt medial lobe GB Key findings νš‘κ²©λ§‰μ˜ μ•½ 3cm 직경의 결손뢀λ₯Ό 톡해 볡강과 쒅격동 μ‚¬μ΄μ˜ κ°œν†΅μ„± 확인. ν•΄λ‹Ή 결손뢀λ₯Ό 톡해 일뢀 κ°„μ—½(μš°λ‚΄μΈ‘μ—½, μ’Œλ‚΄μΈ‘μ—½, λ„€λͺ¨μ—½)κ³Ό λ‹΄λ‚­μ˜ νƒˆμž₯ 확인. λ‹΄λ‚­μ˜ νƒˆμž₯ ν™•μΈλ˜μ—ˆμœΌλ‚˜, EHBO μ§€μ‹œ μ†Œκ²¬ ν™•μΈλ˜μ§€ μ•ŠμŒ. PPDH(Pleuroperitoneal Diaphragmatic Hernia) μ„ μ²œμ μœΌλ‘œ λ°œμƒν•  수 μžˆλŠ” νš‘κ²©λ§‰ νƒˆμž₯으둜, νš‘κ²©λ§‰μ΄ λΉ„μ •μƒμ μœΌλ‘œ ν˜•μ„±λ˜μ–΄ 흉강과 볡강 사이에 결손뢀가 μƒκΈ°λŠ” μ§ˆν™˜. κ°„, λ‹΄λ‚­, μ†Œμž₯ 같은 볡강 λ‚΄ μž₯기듀이 ν‰κ°•μœΌλ‘œ νƒˆμΆœν•œ 증둀듀이 보고 λ˜μ–΄ 있으며, νƒˆμž₯된 μž₯기둜 μΈν•œ 압박이 λ°œμƒν•  수 있음 (Ginn, Peggy E., et al. "Pathology of Domestic Animals." Elsevier, 2016). CTλ₯Ό ν†΅ν•œ PPDH 진단 μš”λ Ή νš‘κ²©λ§‰ 결손 확인
CT
Definitive Dx
  • 영민
πŸ‘
2
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