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๐Ÿ“ ์ผ€์ด์Šค ์•„์นด์ด๋ธŒ

์ง„๋‹จํ•œ ์ฆ๋ก€๋“ค์˜ ๊ธฐ๋ก๊ณผ ๊ฒฌํ•ด
์˜๋ฏผ
Possibly Gastroduodenal Vein Thrombosis due to Severe Pancreatitis
Summary Signalment ๋‹ฅ์Šคํ›ˆํŠธ, SF, 12y, 6.3kg CC: ๊ตฌํ†  Conclusion Gastroduodenal vein thrombosis Severe pancreatitis Possibly secondary fat stranding, EHBO and duodenitis Key findings ์ทŒ์žฅ์˜ ๋ถˆ๊ทœ์น™ํ•œ ๋ณ€์—ฐ, ์ข…๋Œ€, ์ •๋งฅ ์กฐ์˜์ƒ ์ผ๋ถ€ ์‹ค์งˆ์˜ ์ €๊ฐ์‡„ (red). ์ •๋งฅ ์กฐ์˜์ƒ ๊ฐ„๋ฌธ๋งฅ ๋ฐ ์œ„-์‹ญ์ด์ง€์žฅ ์ •๋งฅ์˜ ์กฐ์˜์ œ ์ถฉ์ง„ ๊ฒฐ์† (yellow). ์ทŒ์žฅ๊ณผ ์ธ์ ‘ํ•œ ๋ณต๊ฐ• ์ง€๋ฐฉ์˜ ๊ณ ๊ฐ์‡„ (yellow) ์‹ญ์ด์ง€์žฅ ๋ฒฝ ๋น„ํ›„ (mint). ์ด๋‹ด๊ด€์˜ ๊ฒฝ๋ฏธํ•œ ํ™•์žฅ (green). ์ทŒ์žฅ-์‹ญ์ด์ง€์žฅ ๋ฆผํ”„์ ˆ ์ข…๋Œ€ (blue). Additional findings ์–‘์ธก ๋ถ€์‹ ์€ ๋‹จ์ถ• ์ง๊ฒฝ 6.3mm ์ˆ˜์ค€์œผ๋กœ ๊ฒฝ๋ฏธํ•œ ์ข…๋Œ€ (bilaterally symmetric adrenomegaly) Thrombosis & Pancreatitis
CT
Possible Dx
๐Ÿ‘
1
์˜๋ฏผ
PPDH (Pleuroperitoneal Diaphragmatic Hernia)
Summary Signalment DSH, CM, 1y, 4.5kg CC: ํ˜ธํก๊ณค๋ž€ Conclusion PPDH Herniation Liver: Rt medial lobe, quadrate lobe, Lt medial lobe GB Key findings ํšก๊ฒฉ๋ง‰์˜ ์•ฝ 3cm ์ง๊ฒฝ์˜ ๊ฒฐ์†๋ถ€๋ฅผ ํ†ตํ•ด ๋ณต๊ฐ•๊ณผ ์ข…๊ฒฉ๋™ ์‚ฌ์ด์˜ ๊ฐœํ†ต์„ฑ ํ™•์ธ. ํ•ด๋‹น ๊ฒฐ์†๋ถ€๋ฅผ ํ†ตํ•ด ์ผ๋ถ€ ๊ฐ„์—ฝ(์šฐ๋‚ด์ธก์—ฝ, ์ขŒ๋‚ด์ธก์—ฝ, ๋„ค๋ชจ์—ฝ)๊ณผ ๋‹ด๋‚ญ์˜ ํƒˆ์žฅ ํ™•์ธ. ๋‹ด๋‚ญ์˜ ํƒˆ์žฅ ํ™•์ธ๋˜์—ˆ์œผ๋‚˜, EHBO ์ง€์‹œ ์†Œ๊ฒฌ ํ™•์ธ๋˜์ง€ ์•Š์Œ. PPDH(Pleuroperitoneal Diaphragmatic Hernia) ์„ ์ฒœ์ ์œผ๋กœ ๋ฐœ์ƒํ•  ์ˆ˜ ์žˆ๋Š” ํšก๊ฒฉ๋ง‰ ํƒˆ์žฅ์œผ๋กœ, ํšก๊ฒฉ๋ง‰์ด ๋น„์ •์ƒ์ ์œผ๋กœ ํ˜•์„ฑ๋˜์–ด ํ‰๊ฐ•๊ณผ ๋ณต๊ฐ• ์‚ฌ์ด์— ๊ฒฐ์†๋ถ€๊ฐ€ ์ƒ๊ธฐ๋Š” ์งˆํ™˜. ๊ฐ„, ๋‹ด๋‚ญ, ์†Œ์žฅ ๊ฐ™์€ ๋ณต๊ฐ• ๋‚ด ์žฅ๊ธฐ๋“ค์ด ํ‰๊ฐ•์œผ๋กœ ํƒˆ์ถœํ•œ ์ฆ๋ก€๋“ค์ด ๋ณด๊ณ  ๋˜์–ด ์žˆ์œผ๋ฉฐ, ํƒˆ์žฅ๋œ ์žฅ๊ธฐ๋กœ ์ธํ•œ ์••๋ฐ•์ด ๋ฐœ์ƒํ•  ์ˆ˜ ์žˆ์Œ (Ginn, Peggy E., et al. "Pathology of Domestic Animals." Elsevier, 2016). CT๋ฅผ ํ†ตํ•œ PPDH ์ง„๋‹จ ์š”๋ น ํšก๊ฒฉ๋ง‰ ๊ฒฐ์† ํ™•์ธ
CT
Definitive Dx
๐Ÿ‘
2
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