Resumo
Background: Despite being rare in domestic animals, pancreatic adenocarcinoma is the most common malignant tumor of the feline pancreas. Due non-specificity of clinical signs in cats and the late diagnosis of the neoplasm, it is necessary to understand this disease better, to contribute for the knowledge of its early recognition and treatment. Thus, this study aims to report a case of metastatic pancreatic ductal adenocarcinoma in a cat, focusing on the main clinical aspects, diagnosis, and prognosis of this disease, in addition to the description of the presentation of peritoneal carcinomatosis. Case: A 14-year-old male neutered mixed breed cat, was referred to the Feline Medicine Service (MedFel) of the Hospital de Clínicas Veterinárias (HCV) - Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, with a history of hyporexia, constipation and increased abdominal volume for 3 days, besides mild difficulty in locomotion and progressive weight loss in the last 6 months. On the physical examination, the patient was alert, with a body condition score of 6/9; muscle condition score 1/4 and moderate dehydration of 7%. Popliteal lymph nodes were enlarged, and abdominal distension was evident. Around 200 mL of a slightly cloudy, straw-yellow liquid were drained from the abdominal cavity. After draining the fluid, a new abdominal palpation was performed, and there were fecal retention and a palpable mass in the right hypogastric region. The result of the cytological analysis of the fluid was consistent with a protein-rich transudate, suggesting neoplastic effusion of epithelial origin. Hematological and biochemical changes included leukocytosis due to neutrophilia, monocytosis, lymphopenia, thrombocytosis and azotemia. On abdominal ultrasound, the patient had free fluid in the abdominal cavity, and the gallbladder had discreet of biliary sludge. The intestines showed some corrugated segments with other segments lacking definition of its layers, and without peristaltic movements, suggesting intestinal neoplasia. Pancreas and adrenals were not visualized. On the chest X-ray, moderate opacification of lung fields with a diffuse interstitial pattern was observed, suggesting lung metastasis. The patient presented an acute worsening of the clinical condition and the owner requested euthanasia. The patient was referred for necropsy and based on the macroscopic and microscopic changes, the post-mortem diagnosis was metastatic pancreatic ductal adenocarcinoma with peritoneal carcinomatosis. Discussion: The clinical presentation of cats with exocrine pancreatic neoplasia is nonspecific, as clinical signs are common to several diseases, such as anorexia, vomiting, abdominal pain, weight loss with normal appetite, jaundice, depression, and lethargy. Complementary blood tests also do not provide data that could lead to the suspicion of pancreatic neoplastic disease. In the present case, the diagnosis of metastatic pancreatic ductal adenocarcinoma with peritoneal carcinomatosis was only possible post mortem. The pancreas is a difficult organ to assess adequately using most diagnostic imaging methods, so histopathology is still the method of choice for differentiating pancreatic tissue comorbidities. Therefore, exploratory laparotomy should be instituted to provide tissue samples from the pancreas and its metastases for histopathological diagnosis, whenever ultrasound or other imaging methods indicate suspicious abdominal changes. The literature reports that less than 10% of affected cats treated with complete surgical removal of the mass and chemotherapy alone will survive more than a year, and the average time for untreated cats is only 6 days. The prognosis of this disease is bad and most cats are euthanized, due to rapid clinical worsening. Therefore, diagnosis is essential to determine an adequate prognosis in advanced cases and to support therapeutic decisions or euthanasia.
Assuntos
Animais , Masculino , Gatos , Neoplasias Pancreáticas/veterinária , Carcinoma Ductal Pancreático/veterinária , Neoplasias Abdominais/veterinária , Ultrassonografia/veterináriaResumo
Background: Hepatic tumors of primary origin account for 0.6% to 2.9% of cases in canine species, less common than hepatic metastases. The hepatic tumors are divided into hepatocellular tumors, neuroendocrine tumors, bile duct tumors or cholangiocarcinomas, and mesenchymal tumors. Cholangiocarcinomas, are classified according to their origin, being intrahepatic, extrahepatic, or gallbladder type. Cholangiocarcinomas are considered rare in dogs and cats with a ratio of 29% to 71% compared to hepatocellular carcinomas, accounting for 9% of the hepatic tumors. The present study aims to describe a case of cholangiocarcinoma in a bitch, focusing on the diagnostic approach. Case: A 10-year-old castrated bitch Poodle was attended presenting hypoglycemia and seizure crisis. The patient had previous exams of hemogram and serum biochemical profile, showing a discrete increase of the hepatic enzymes alanine aminotransferase (ALT) and aspartate aminotransferase (AST), besides hypoglycemia. Previous ultrasound exam revealed the presence of a hepatic mass located between the right and square lobes, immeasurable, and significant splenomegaly. Abdominal palpation revealed the presence of immeasurable abdominal formation of undetermined origin. Abdominal computerized tomography (CT), glycemic curve, and insulin dosage were requested. Tomography exam showed an increase in hepatic volume with the presence of a heterogeneous formation in the right lateral lobe topography; increase in spleen dimensions and the presence of multiple nodules; and the presence of a nodule in the right lung, at the caudal thoracic region. The glycemic curve showed acute variations, and insulin dosage was between normal values. The animal was referred for surgery, as in abdominocentesis, it was observed the presence of hemorrhagic fluid, confirming active bleeding by ultrasonography. The owners chose for euthanasia. In the post-mortem evaluation the main lesion was confirmed of hepatic origin, with a massive, irregular, cavitary presentation, involving multiple hepatic lobes, and a single nodule was observed in the right caudal lobe of the right lung. Histopathological evaluation was considered inconclusive. Immunohistochemistry was performed and the association of the immunohistochemical profile with the morphological characteristics indicated diagnosis of cholangiocarcinoma. Discussion: The related symptomatology, in hepatic neoplasms, is generally considered non-specific, with reports of lethargy, vomiting, dyspnea, anorexia and weight loss, however, the dog in this study presented a unique manifestation of hypoglycemia and one episode of convulsive crisis resulting from it. The clinical manifestation observed was extremely unspecific making initial diagnosis difficult. The ultrasonographic examination was effective in evidencing the abdominal mass. In addition, abdominal CT was also performed, which confirmed the hepatic origin, detailing the macroscopic aspect. Biochemical analyses of ALT and AST showed a discrete increase. Biochemical changes may occur in dogs with hepatic neoplasms, although they are not specific. Functional pancreatic beta-cell tumors producing insulin are the most common cause of paraneoplastic hypoglycemia, although in the case the insulin dosage was within normal limits. In cases of nonislet cell tumor the mechanism is frequently associated with the production of insulin-like growth factor (IGF). In most cases the definitive diagnosis of cholangiocarcinoma can be obtained by histopathological examination, although in the present report the result obtained was inconclusive, requiring an immunohistochemical examination. Due to the aggressive and metastatic character of this neoplastic type, early detection becomes extremely important in order to maximize therapeutic chances, however, diagnosis may be difficult.
Assuntos
Animais , Feminino , Cães , Ductos Biliares/patologia , Carcinoma/veterinária , Colangiocarcinoma/diagnóstico , Imuno-Histoquímica/veterináriaResumo
Este estudo teve como objetivo avaliar achados ultrassonográficos de cães e gatos diagnosticados com colestase, correlacionando alterações concomitantes com espécies, sexo, idade, peso, sinais clínicos e dilatação das vias biliares. O sistema biliar de pequenos animais é composto pela vesícula biliar e a árvore biliar. Desta forma, os felinos apresentam mais alterações nestas estruturas devido à anatomia diferenciada. A redução do fluxo biliar, conhecida como colestase, ocorre por inúmeras situações, sendo o ultrassom o principal exame diagnóstico empregado na medicina veterinária. Ductos biliares de 4 e 3mm de diâmetro são considerados normais para felinos e caninos, respectivamente. Neste estudo, os sistemas biliares de 41 animais, incluindo felinos e caninos, foram avaliados por ultrassonografia no Setor de Diagnóstico por Imagem do Hospital Veterinário de janeiro de 2019 a fevereiro de 2020, demonstrando a presença de cálculos vesicais em ambas as populações, assim como alterações em ducto cístico associados à pancreatite em cães.
This study aimed to evaluate ultrasound findings of dogs and cats diagnosed with cholestasis, correlating concomitant alterations with species, sex, age, weight, clinical signs, and dilation of bile ducts. The biliary system of small animals is composed of the gallbladder and the biliary tree. Thus, the felines show more alterations in these structures due to their differentiated anatomy. The reduction of the bile flow, known as cholestasis, occurs as a result of numerous situations, with ultrasound being the main diagnostic exam applied in veterinary medicine. Bile ducts of 4 and 3mm diameter are considered normal for felines and canines, respectively. In this study, the biliary systems of 41 animals, including felines and canines, were evaluated using ultrasound at the Diagnostic Imaging Sector of the Veterinary Hospital from January 2019 to February 2020, demonstrating the presence of bladder stones in both populations, as well as changes in the cystic duct associated with pancreatitis in dogs.
Assuntos
Animais , Gatos , Cães , Ductos Pancreáticos/diagnóstico por imagem , Sistema Biliar/diagnóstico por imagem , Colestase/veterinária , Vesícula Biliar/diagnóstico por imagem , Prontuários Médicos/estatística & dados numéricos , Ultrassonografia/veterináriaResumo
ABSTRACT: Pancreatic cysts are rare in both humans and animals. They are defined as an enclosed structure externally surrounded by a capsule, internally coated with a cuboidal epithelium and filled with liquid or semi-solid content. This case described the clinical and pathological characteristics of a pancreatic cyst in a feline. A mixed breed cat with a history of recurrent vomiting was attended. Physical examination revealed pain on abdominal palpation. Abdominal ultrasonography showed a cystic, anechoic structure with well-defined edges located in the left cranial abdomen and in close contact with the duodenum and pancreas. Partial pancreatectomy was performed. Microscopically, the structure was surrounded by fibrous material, coated with cuboidal to columnar epithelium, and containing eosinophilic material. Although, pancreatic cyst is rare in animals, they should be included in the differential diagnosis of causes of vomiting in young cats.
RESUMO: Os cistos epiteliais pancreáticos são raros em humanos e animais, e são definidos como estruturas encapsuladas rodeadas por epitélio cuboidal, preenchido por substância líquida. O objetivo desse estudo foi descrever as características clínico-patológicas de um cisto pancreático verdadeiro em um felino. Foi atendido uma gata sem raça definida com histórico de vômitos recorrentes. No exame físico o animal apresentou dor à palpação abdominal. Na ultrassonografia abdominal, evidenciou-se a presença de uma estrutura cística, anecóica e com bordos bem definidos localizado no abdome cranial esquerdo, em contato com o duodeno e o pâncreas. Foi realizada pancreatectomia parcial. No exame microscópico observou-se estrutura encapsulada, circundado por material fibroso, revestido por epitélio cuboidal a colunar, contendo material eosinofílico. Embora os cistos pancreáticos verdadeiros sejam raros nos animais, eles devem ser incluídos no diagnóstico diferencial de doenças que cursam com vômitos nos gatos.
Resumo
Pancreatic cysts are rare in both humans and animals. They are defined as an enclosed structure externally surrounded by a capsule, internally coated with a cuboidal epithelium and filled with liquid or semi-solid content. This case described the clinical and pathological characteristics of a pancreatic cyst in a feline. A mixed breed cat with a history of recurrent vomiting was attended. Physical examination revealed pain on abdominal palpation. Abdominal ultrasonography showed a cystic, anechoic structure with well-defined edges located in the left cranial abdomen and in close contact with the duodenum and pancreas. Partial pancreatectomy was performed. Microscopically, the structure was surrounded by fibrous material, coated with cuboidal to columnar epithelium, and containing eosinophilic material. Although, pancreatic cyst is rare in animals, they should be included in the differential diagnosis of causes of vomiting in young cats.
Os cistos epiteliais pancreáticos são raros em humanos e animais, e são definidos como estruturas encapsuladas rodeadas por epitélio cuboidal, preenchido por substância líquida. O objetivo desse estudo foi descrever as características clínico-patológicas de um cisto pancreático verdadeiro em um felino. Foi atendido uma gata sem raça definida com histórico de vômitos recorrentes. No exame físico o animal apresentou dor à palpação abdominal. Na ultrassonografia abdominal, evidenciou-se a presença de uma estrutura cística, anecóica e com bordos bem definidos localizado no abdome cranial esquerdo, em contato com o duodeno e o pâncreas. Foi realizada pancreatectomia parcial. No exame microscópico observou-se estrutura encapsulada, circundado por material fibroso, revestido por epitélio cuboidal a colunar, contendo material eosinofílico. Embora os cistos pancreáticos verdadeiros sejam raros nos animais, eles devem ser incluídos no diagnóstico diferencial de doenças que cursam com vômitos nos gatos.
Assuntos
Feminino , Animais , Gatos , Doenças do Gato/patologia , Doenças do Gato/sangue , Pancreatectomia/veterinária , Pâncreas/patologiaResumo
Pancreatic cysts are rare in both humans and animals. They are defined as an enclosed structure externally surrounded by a capsule, internally coated with a cuboidal epithelium and filled with liquid or semi-solid content. This case described the clinical and pathological characteristics of a pancreatic cyst in a feline. A mixed breed cat with a history of recurrent vomiting was attended. Physical examination revealed pain on abdominal palpation. Abdominal ultrasonography showed a cystic, anechoic structure with well-defined edges located in the left cranial abdomen and in close contact with the duodenum and pancreas. Partial pancreatectomy was performed. Microscopically, the structure was surrounded by fibrous material, coated with cuboidal to columnar epithelium, and containing eosinophilic material. Although, pancreatic cyst is rare in animals, they should be included in the differential diagnosis of causes of vomiting in young cats.(AU)
Os cistos epiteliais pancreáticos são raros em humanos e animais, e são definidos como estruturas encapsuladas rodeadas por epitélio cuboidal, preenchido por substância líquida. O objetivo desse estudo foi descrever as características clínico-patológicas de um cisto pancreático verdadeiro em um felino. Foi atendido uma gata sem raça definida com histórico de vômitos recorrentes. No exame físico o animal apresentou dor à palpação abdominal. Na ultrassonografia abdominal, evidenciou-se a presença de uma estrutura cística, anecóica e com bordos bem definidos localizado no abdome cranial esquerdo, em contato com o duodeno e o pâncreas. Foi realizada pancreatectomia parcial. No exame microscópico observou-se estrutura encapsulada, circundado por material fibroso, revestido por epitélio cuboidal a colunar, contendo material eosinofílico. Embora os cistos pancreáticos verdadeiros sejam raros nos animais, eles devem ser incluídos no diagnóstico diferencial de doenças que cursam com vômitos nos gatos.(AU)
Assuntos
Animais , Feminino , Gatos , Doenças do Gato/sangue , Doenças do Gato/patologia , Pâncreas/patologia , Pancreatectomia/veterináriaResumo
Platynosomum spp. é um trematódeo, da família Dicrocoeliidae, que tem como hospedeiros definitivos, os felídeos, mas também pode parasitar primatas e aves silvestres. Animais que possuem o hábito de se alimentar de répteis ou anfíbios, são mais susceptíveis. Acomete principalmente o fígado e os ductos biliares, mas pode ser eventualmente encontrado também no intestino delgado, ductos pancreáticos, pulmões e outros tecidos. A fisiopatologia inclui quadro de colangite crônica, podendo se estender e acometer o parênquima hepático e culminar com colangiohepatite, fibrose biliar, cirrose e obstrução biliar. Os sinais clínicos variam conforme a gravidade do caso e duração da infecção. As manifestações clínicas incluem anorexia, letargia, perda de peso, hepatomegalia, distensão abdominal e vômitos, podendo ocorrer, ainda, icterícia e alteração de consistência das fezes. Os gatos adultos, não domiciliados ou domiciliados com acesso à rua que possuem hábitos de caça, são mais predispostos. O diagnóstico definitivo pode ser feito pela pesquisa parasitológica e presença de ovos em análise coproparasitológica, pela identificação de ovos na bile e mais frequentemente por histopatologia hepática. O tratamento consiste no uso de anti-helmínticos, sendo que o mais eficaz é o praziquantel. Além disso, medidas preventivas devem ser adotadas, como evitar que os gatos tenham acesso aos hospedeiros intermediários. O presente relato, consiste no diagnóstico coproparasitológico de platinossomose em dois felinos domésticos, no município de Pelotas, RS, Brasil.
Platynosomumspp. is a trematode, from the family Dicrocoeliidae, which has felids as its definitive host, but can also parasite primates and wild birds. Animals that have a habit of feeding on reptiles or amphibians are more susceptible. It mainly affects the liver and bile ducts, but it can eventually be found also in the small intestine, pancreatic ducts, lungs and other tissues. Pathophysiology includes chronic cholangitis, which may extend and affect the liver parenchyma and culminate in cholangiohepatitis, biliary fibrosis, cirrhosis and biliary obstruction. Clinical signs vary according to the severity of the case and the duration of the infection. Clinical manifestations include anorexia, lethargy, weight loss, hepatomegaly, bloating and vomiting, and jaundice and alteration of stool consistency may also occur. Adult cats, homeless or homeless with access to the street who have hunting habits, are more predisposed. The definitive diagnosis can be made through parasitological research and presence of eggs in coproparasitological analysis, by identifying eggs in the bile and more often through hepatic histopathology. Treatment consists of the use of anthelmintics, the most effective of which is praziquantel. In addition, preventive measures must be adopted, such as preventing cats from having access to intermediate hosts. The present report consists of the coproparasitological diagnosis of platinosomosis in two domestic cats, in the municipality of Pelotas, RS, Brazil.
Platynosomum spp. es un trematodo, de la familia Dicrocoeliidae, que tiene a los felinos como hospedadores definitivos, pero también puede parasitar primates y aves silvestres. Los animales que tienen la costumbre de alimentarse de reptiles o anfibios, sonmás susceptibles. Afecta principalmente al hígado y los conductos biliares, pero eventualmente también se puede encontrar en el intestino delgado, los conductos pancreáticos, los pulmones y otros tejidos. La fisiopatología incluye la colangitis crónica, que puede extenderse y afectar el parénquima hepático y culminar en colangiohepatitis, fibrosis biliar, cirrosis y obstrucción biliar. Los signos clínicos varían según la gravedad del caso y la duración de la infección. Las manifestaciones clínicas incluyen anorexia, letargo, pérdida de peso, hepatomegalia, distensión abdominal y vómitos, e ictericia y alteración de la consistencia de las heces. Los gatos adultos, sin hogar o sin hogar con acceso a la calle que tienen hábitos de caza, están más predispuestos. El diagnóstico definitivo se puede realizar mediante la investigación parasitológica y la presencia de huevos en el análisis coproparasitológico, mediante la identificación de los huevos en la bilis y más a menudo mediante la histopatología hepática. El tratamiento consiste en el uso de antihelmínticos, el más eficaz de los cuales es el praziquantel. Además, se deben adoptar medidas preventivas, como evitar que los gatos tengan acceso a huéspedes intermediarios. El presente informe consiste en el diagnóstico coproparasitológico de platinosomosa en dos gatos domésticos, en el municipio de Pelotas, RS, Brasil.
Assuntos
Animais , Gatos , Contagem de Ovos de Parasitas/veterinária , Dicrocoeliidae/isolamento & purificação , Infecções por Trematódeos/diagnóstico , Infecções por Trematódeos/veterinária , Adenoma de Ducto Biliar/veterinária , Anti-Helmínticos/uso terapêutico , BrasilResumo
Platynosomum spp. é um trematódeo, da família Dicrocoeliidae, que tem como hospedeiros definitivos, os felídeos, mas também pode parasitar primatas e aves silvestres. Animais que possuem o hábito de se alimentar de répteis ou anfíbios, são mais susceptíveis. Acomete principalmente o fígado e os ductos biliares, mas pode ser eventualmente encontrado também no intestino delgado, ductos pancreáticos, pulmões e outros tecidos. A fisiopatologia inclui quadro de colangite crônica, podendo se estender e acometer o parênquima hepático e culminar com colangiohepatite, fibrose biliar, cirrose e obstrução biliar. Os sinais clínicos variam conforme a gravidade do caso e duração da infecção. As manifestações clínicas incluem anorexia, letargia, perda de peso, hepatomegalia, distensão abdominal e vômitos, podendo ocorrer, ainda, icterícia e alteração de consistência das fezes. Os gatos adultos, não domiciliados ou domiciliados com acesso à rua que possuem hábitos de caça, são mais predispostos. O diagnóstico definitivo pode ser feito pela pesquisa parasitológica e presença de ovos em análise coproparasitológica, pela identificação de ovos na bile e mais frequentemente por histopatologia hepática. O tratamento consiste no uso de anti-helmínticos, sendo que o mais eficaz é o praziquantel. Além disso, medidas preventivas devem ser adotadas, como evitar que os gatos tenham acesso aos hospedeiros intermediários. O presente relato, consiste no diagnóstico coproparasitológico de platinossomose em dois felinos domésticos, no município de Pelotas, RS, Brasil.(AU)
Platynosomumspp. is a trematode, from the family Dicrocoeliidae, which has felids as its definitive host, but can also parasite primates and wild birds. Animals that have a habit of feeding on reptiles or amphibians are more susceptible. It mainly affects the liver and bile ducts, but it can eventually be found also in the small intestine, pancreatic ducts, lungs and other tissues. Pathophysiology includes chronic cholangitis, which may extend and affect the liver parenchyma and culminate in cholangiohepatitis, biliary fibrosis, cirrhosis and biliary obstruction. Clinical signs vary according to the severity of the case and the duration of the infection. Clinical manifestations include anorexia, lethargy, weight loss, hepatomegaly, bloating and vomiting, and jaundice and alteration of stool consistency may also occur. Adult cats, homeless or homeless with access to the street who have hunting habits, are more predisposed. The definitive diagnosis can be made through parasitological research and presence of eggs in coproparasitological analysis, by identifying eggs in the bile and more often through hepatic histopathology. Treatment consists of the use of anthelmintics, the most effective of which is praziquantel. In addition, preventive measures must be adopted, such as preventing cats from having access to intermediate hosts. The present report consists of the coproparasitological diagnosis of platinosomosis in two domestic cats, in the municipality of Pelotas, RS, Brazil.(AU)
Platynosomum spp. es un trematodo, de la familia Dicrocoeliidae, que tiene a los felinos como hospedadores definitivos, pero también puede parasitar primates y aves silvestres. Los animales que tienen la costumbre de alimentarse de reptiles o anfibios, sonmás susceptibles. Afecta principalmente al hígado y los conductos biliares, pero eventualmente también se puede encontrar en el intestino delgado, los conductos pancreáticos, los pulmones y otros tejidos. La fisiopatología incluye la colangitis crónica, que puede extenderse y afectar el parénquima hepático y culminar en colangiohepatitis, fibrosis biliar, cirrosis y obstrucción biliar. Los signos clínicos varían según la gravedad del caso y la duración de la infección. Las manifestaciones clínicas incluyen anorexia, letargo, pérdida de peso, hepatomegalia, distensión abdominal y vómitos, e ictericia y alteración de la consistencia de las heces. Los gatos adultos, sin hogar o sin hogar con acceso a la calle que tienen hábitos de caza, están más predispuestos. El diagnóstico definitivo se puede realizar mediante la investigación parasitológica y la presencia de huevos en el análisis coproparasitológico, mediante la identificación de los huevos en la bilis y más a menudo mediante la histopatología hepática. El tratamiento consiste en el uso de antihelmínticos, el más eficaz de los cuales es el praziquantel. Además, se deben adoptar medidas preventivas, como evitar que los gatos tengan acceso a huéspedes intermediarios. El presente informe consiste en el diagnóstico coproparasitológico de platinosomosa en dos gatos domésticos, en el municipio de Pelotas, RS, Brasil.(AU)
Assuntos
Animais , Gatos , Dicrocoeliidae/isolamento & purificação , Infecções por Trematódeos/diagnóstico , Infecções por Trematódeos/veterinária , Contagem de Ovos de Parasitas/veterinária , Adenoma de Ducto Biliar/veterinária , Anti-Helmínticos/uso terapêutico , BrasilResumo
A 16-year-old female Poodle entered UFMG's Veterinary Hospital with severe prostration, lack of appetite, and vomit. During physical examination, abdominal pain, dehydration, and hyperglycemia (448mg/dl) were found, therefore the animal was admitted under the suspicion of diabetic ketoacidosis. Screening revealed metabolic acidosis, hyperkalemia, glycosuria, ketonuria, and proteinuria. Leukocytosis, thrombocytosis, increase in the number of hepatic enzymes and hyperglycemia were also present in these tests. The ultrasound images showed a smaller and hypoechogenic pancreas, irregularity and folds in duodenum and reactivity of the surrounding tissue, indicating pancreatitis. Thirty days after the dog had been discharged for treatment at home, it was taken back to the veterinary hospital due to status epilepticus, which motivated the owner's decision of euthanasia. During post mortem examination no trace of pancreas was found. On histological examination of the adipose tissue next to the duodenum, only one pancreatic duct was seen, together with inflamatory cells , thus characterizing a rare case of total pancreatic destruction due to pancreatitis.(AU)
Assuntos
Animais , Cães , Cães/anormalidades , Pâncreas/anormalidades , Pancreatite/classificaçãoResumo
A 16-year-old female Poodle entered UFMG's Veterinary Hospital with severe prostration, lack of appetite, and vomit. During physical examination, abdominal pain, dehydration, and hyperglycemia (448mg/dl) were found, therefore the animal was admitted under the suspicion of diabetic ketoacidosis. Screening revealed metabolic acidosis, hyperkalemia, glycosuria, ketonuria, and proteinuria. Leukocytosis, thrombocytosis, increase in the number of hepatic enzymes and hyperglycemia were also present in these tests. The ultrasound images showed a smaller and hypoechogenic pancreas, irregularity and folds in duodenum and reactivity of the surrounding tissue, indicating pancreatitis. Thirty days after the dog had been discharged for treatment at home, it was taken back to the veterinary hospital due to status epilepticus, which motivated the owner's decision of euthanasia. During post mortem examination no trace of pancreas was found. On histological examination of the adipose tissue next to the duodenum, only one pancreatic duct was seen, together with inflamatory cells , thus characterizing a rare case of total pancreatic destruction due to pancreatitis.(AU)
Assuntos
Animais , Cães , Cães/anormalidades , Pâncreas/anormalidades , Pancreatite/classificaçãoResumo
A 16-year-old female Poodle entered UFMG's Veterinary Hospital with severe prostration, lack of appetite, and vomit. During physical examination, abdominal pain, dehydration, and hyperglycemia (448mg/dl) were found, therefore the animal was admitted under the suspicion of diabetic ketoacidosis. Screening revealed metabolic acidosis, hyperkalemia, glycosuria, ketonuria, and proteinuria. Leukocytosis, thrombocytosis, increase in the number of hepatic enzymes and hyperglycemia were also present in these tests. The ultrasound images showed a smaller and hypoechogenic pancreas, irregularity and folds in duodenum and reactivity of the surrounding tissue, indicating pancreatitis. Thirty days after the dog had been discharged for treatment at home, it was taken back to the veterinary hospital due to status epilepticus, which motivated the owner's decision of euthanasia. During post mortem examination no trace of pancreas was found. On histological examination of the adipose tissue next to the duodenum, only one pancreatic duct was seen, together with inflamatory cells , thus characterizing a rare case of total pancreatic destruction due to pancreatitis.(AU)
Assuntos
Animais , Cães , Cães/anormalidades , Pâncreas/anormalidades , Pancreatite/classificaçãoResumo
As doenças do trato biliar são as patologias hepato-biliares de maior ocorrência em felinos, comumente associadas a processos inflamatórios intestinais e pancreáticos. A obstrução do ducto biliar comum está associada a alta mortalidade e morbidade e pode ocorrer devido doenças inflamatórias, colelitíases, neoplasias, dentre outras causas menos comum. As manifestações clínicas iniciais são inespecíficas, mas a progressão da doença leva a icterícia, emese, anorexia, perda de peso e fezes acólicas. O diagnóstico se dá através de exames laboratoriais e ultrassonografia. A definição de obstrução total do ducto biliar comum requer intervenção cirúrgica, e a definição da técnica irá depender da possível desobstrução do ducto ou restabelecimento do fluxo biliar através da colecistoduodenostomia, ou colecistojejunostomia, associadas a um grande risco cirúrgico e anestésico. Este relato apresenta um caso de um paciente com obstrução total do ducto biliar comum, diagnosticado através da ultrassonografia, sinais clínicos e exames laboratoriais e sua resolução cirúrgica através da técnica de colecistoduodenostomia, que se mostrou efetiva para a melhora clínica do paciente.
Diseases of the biliary tract are the most frequent hepatic biliary diseases in felines, commonly associated with inflammatory bowel and pancreatic processes. Obstruction of the common bile duct is associated with high mortality and morbidity and can occur due to inflammatory diseases, cholelithiasis, neoplasias, among other less common causes. Initial clinical manifestations are nonspecific, but progression of the disease leads to jaundice, emesis, anorexia, weight loss, and stool. The diagnosis is made through laboratory tests and ultrasonography. The definition of total obstruction of the common bile duct requires surgical intervention, and the definition of the technique will depend on the possible duct clearance or reestablishment of the biliary flow through cholecystoduodenostomy, or cholecystochejunostomy, associated with a great surgical and anesthetic risk. This report presents a case of a patient with total obstruction of the common bile duct, diagnosed through ultrasonography, clinical signs and laboratory tests and their surgical resolution through the cholecystoduodenostomy technique, which proved to be effective for the patients clinical improvement.
Assuntos
Animais , Gatos , Colecistostomia/veterinária , Colestase/cirurgia , Colestase/diagnóstico por imagem , Colestase/veterinária , Duodenostomia/veterinária , Anastomose Cirúrgica/veterinária , Ultrassonografia/veterináriaResumo
As doenças do trato biliar são as patologias hepato-biliares de maior ocorrência em felinos, comumente associadas a processos inflamatórios intestinais e pancreáticos. A obstrução do ducto biliar comum está associada a alta mortalidade e morbidade e pode ocorrer devido doenças inflamatórias, colelitíases, neoplasias, dentre outras causas menos comum. As manifestações clínicas iniciais são inespecíficas, mas a progressão da doença leva a icterícia, emese, anorexia, perda de peso e fezes acólicas. O diagnóstico se dá através de exames laboratoriais e ultrassonografia. A definição de obstrução total do ducto biliar comum requer intervenção cirúrgica, e a definição da técnica irá depender da possível desobstrução do ducto ou restabelecimento do fluxo biliar através da colecistoduodenostomia, ou colecistojejunostomia, associadas a um grande risco cirúrgico e anestésico. Este relato apresenta um caso de um paciente com obstrução total do ducto biliar comum, diagnosticado através da ultrassonografia, sinais clínicos e exames laboratoriais e sua resolução cirúrgica através da técnica de colecistoduodenostomia, que se mostrou efetiva para a melhora clínica do paciente.(AU)
Diseases of the biliary tract are the most frequent hepatic biliary diseases in felines, commonly associated with inflammatory bowel and pancreatic processes. Obstruction of the common bile duct is associated with high mortality and morbidity and can occur due to inflammatory diseases, cholelithiasis, neoplasias, among other less common causes. Initial clinical manifestations are nonspecific, but progression of the disease leads to jaundice, emesis, anorexia, weight loss, and stool. The diagnosis is made through laboratory tests and ultrasonography. The definition of total obstruction of the common bile duct requires surgical intervention, and the definition of the technique will depend on the possible duct clearance or reestablishment of the biliary flow through cholecystoduodenostomy, or cholecystochejunostomy, associated with a great surgical and anesthetic risk. This report presents a case of a patient with total obstruction of the common bile duct, diagnosed through ultrasonography, clinical signs and laboratory tests and their surgical resolution through the cholecystoduodenostomy technique, which proved to be effective for the patients clinical improvement.(AU)
Assuntos
Animais , Gatos , Colecistostomia/veterinária , Duodenostomia/veterinária , Colestase/cirurgia , Colestase/veterinária , Colestase/diagnóstico por imagem , Anastomose Cirúrgica/veterinária , Ultrassonografia/veterináriaResumo
ABSTRACT: Agoutis are small-sized wild animals whose body weight can reach up to 4kg, and are found throughout Brazil. They are considered important seed dispersers, especially for big trees and there are species that rely almost exclusively on these animals for their territorial distribution. The objective of the present study was B scan and Doppler ultrasound characterization of the abdominal organs of healthy agoutis reared in captivity. Fifteen agoutis, chemically restrained, were used from the Nucleus for Wild Animal Studies and Conservation (Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS), CCA-UFPI, submitted to B scan and Doppler ultrasound examination. The urinary bladder wall was hyperechogenic, thin, smooth and regular throughout its anatomic path, with 0.09±0.03cm mean thickness. The kidneys showed fine and homogeneous echotexture, preserved global echogenicity, hyperechogenic in relation to the spleen and isoechogenic or discreetly hyperechogenic in relation to the liver. The spectral Doppler trace showed systolic and diastolic peaks, wide and thread-like, with low flow resistance and a continuous and full diastolic portion that decreased gradually during the diastole (75.83±1.42cm/s, for the right kidney and 80.43±1.22cm/s, for the left kidney). The right adrenal gland was 0.61-1.18cm long and 0.17-0.32cm in diameter, while the left adrenal gland was 0.62-1.16 long with 0.14-0.25cm diameter. The agouti spleen was filiform in shape, with pointed poles and 1.02±0.18cm in diameter. The agouti liver occupied all the abdominal cavity cranial space in direct contact with the diaphragm. The intrahepatic vascular flow allowed individualization of the portal vein (PV) and hepatic vein (HV). The portal veins were distinguished from the hepatic veins mainly by their wall echogenic pattern. The pancreas was 0.51±0.1 cm thick and the pancreatic duct measured 0.12±0.02cm. The stomach was placed to the left the spleen and to the right of the proximal intestine and the transversal colon and the walls were 0.16±0.05cm thick. The abdominal aorta was 0.43±0.04cm in diameter and showed 95.2±2.16cm/s vascular flow. This study characterized agouti organs and abdominal blood vessels by B scan and Doppler ultrasound, that permitted definition of the size, shape, position, echogenicity and echotexture of the anatomic constituents and established reference values for the vascular network and blood flow in the species.
RESUMO: As cutias são animais silvestres de pequeno porte, cujo peso corpóreo pode chegar até 4kg, e existem em todo território brasileiro. São considerados importantes dispersores de sementes, especialmente para árvores de grande porte, existindo espécies que dependem quase que exclusivamente destas para sua distribuição territorial. Este trabalho teve por objetivo a caracterização ultrassonográfica modo B e Doppler dos órgãos abdominais de cutias hígidas criadas em cativeiro. Foram utilizadas 15 cutias, contidas quimicamente, oriundas do Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS, CCA-UFPI, submetidas a exame ultrassonográfico em modo B e Doppler. A parede da vesícula urinária presentou-se hiperecogênica, fina, lisa e regular em todo seu trajeto anatômico, com espessura média de 0,09±0,03cm. Os rins demonstraram ecotextura fina e homogênea, ecogenicidade global preservada, hipoecogênico em relação ao baço e isoecogênico ou discretamente hipoecogênico em relação ao fígado. O traçado em Doppler espectral mostrou pico sistólico e diastólico, amplo e afilado, exibindo baixa resistência de fluxo, com uma porção diastólica contínua e cheia, que diminui gradativamente no decorrer da diástole (75,83±1,42cm/s para o rim direito e 80,43±1,22 cm/s para o esquerdo. A adrenal direita apresentou uma variação de comprimento entre 0,61 a 1,18cm e diâmetro variando entre 0,17 a 0,32cm, enquanto a adrenal esquerda evidenciou comprimento de 0,62 a 1,16 e diâmetro de 0,14 a 0,25cm. O baço das cutias mostrou formato filiforme, com polos pontiagudos e diâmetro de 1,02±0,18cm. O fígado da cutia ocupa todo o espaço cranial da cavidade abdominal, em contato direto com o diafragma. O fluxo vascular intrahepático permitiu individualizar as veias porta (VP) e veias hepáticas (VH). As veias porta foram distinguidas, particularmente pelo padrão ecogênico de suas paredes, quando comparadas com as veias hepáticas. A espessura do pâncreas foi de 0,51±0,1cm e o ducto pancreático mediu 0,12±0,02cm. O estômago relaciona-se à esquerda com o baço e a direita com o duodeno proximal e colón transverso. Sua espessura de parede mensurada foi de 0,16±0,05cm. A aorta abdominal possui diâmetro de 0,43±0,04cm e fluxo vascular de 95,2±2,16cm/s. Este estudo caracterizou os órgãos e vasos sanguíneos abdominais de cutias, por meio de ultrassonografia modo B e Doppler, o que permitiu definir o tamanho, formato, posição, ecogenicidade, ecotextura dos constituintes anatômicos, além de estabelecer valores de referência para a rede vascular e fluxo sanguíneo na espécie.
Resumo
Agoutis are small-sized wild animals whose body weight can reach up to 4kg, and are found throughout Brazil. They are considered important seed dispersers, especially for big trees and there are species that rely almost exclusively on these animals for their territorial distribution. The objective of the present study was B scan and Doppler ultrasound characterization of the abdominal organs of healthy agoutis reared in captivity. Fifteen agoutis, chemically restrained, were used from the Nucleus for Wild Animal Studies and Conservation (Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS), CCA-UFPI, submitted to B scan and Doppler ultrasound examination. The urinary bladder wall was hyperechogenic, thin, smooth and regular throughout its anatomic path, with 0.09±0.03cm mean thickness. The kidneys showed fine and homogeneous echotexture, preserved global echogenicity, hyperechogenic in relation to the spleen and isoechogenic or discreetly hyperechogenic in relation to the liver. The spectral Doppler trace showed systolic and diastolic peaks, wide and thread-like, with low flow resistance and a continuous and full diastolic portion that decreased gradually during the diastole (75.83±1.42cm/s, for the right kidney and 80.43±1.22cm/s, for the left kidney). The right adrenal gland was 0.61-1.18cm long and 0.17-0.32cm in diameter, while the left adrenal gland was 0.62-1.16 long with 0.14-0.25cm diameter. The agouti spleen was filiform in shape, with pointed poles and 1.02±0.18cm in diameter. The agouti liver occupied all the abdominal cavity cranial space in direct contact with the diaphragm. The intrahepatic vascular flow allowed individualization of the portal vein (PV) and hepatic vein (HV). The portal veins were distinguished from the hepatic veins mainly by their wall echogenic pattern. The pancreas was 0.51±0.1 cm thick and the pancreatic duct measured 0.12±0.02cm...(AU)
As cutias são animais silvestres de pequeno porte, cujo peso corpóreo pode chegar até 4kg, e existem em todo território brasileiro. São considerados importantes dispersores de sementes, especialmente para árvores de grande porte, existindo espécies que dependem quase que exclusivamente destas para sua distribuição territorial. Este trabalho teve por objetivo a caracterização ultrassonográfica modo B e Doppler dos órgãos abdominais de cutias hígidas criadas em cativeiro. Foram utilizadas 15 cutias, contidas quimicamente, oriundas do Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS, CCA-UFPI, submetidas a exame ultrassonográfico em modo B e Doppler. A parede da vesícula urinária presentou-se hiperecogênica, fina, lisa e regular em todo seu trajeto anatômico, com espessura média de 0,09±0,03cm. Os rins demonstraram ecotextura fina e homogênea, ecogenicidade global preservada, hipoecogênico em relação ao baço e isoecogênico ou discretamente hipoecogênico em relação ao fígado. O traçado em Doppler espectral mostrou pico sistólico e diastólico, amplo e afilado, exibindo baixa resistência de fluxo, com uma porção diastólica contínua e cheia, que diminui gradativamente no decorrer da diástole (75,83±1,42cm/s para o rim direito e 80,43±1,22 cm/s para o esquerdo. A adrenal direita apresentou uma variação de comprimento entre 0,61 a 1,18cm e diâmetro variando entre 0,17 a 0,32cm, enquanto a adrenal esquerda evidenciou comprimento de 0,62 a 1,16 e diâmetro de 0,14 a 0,25cm. O baço das cutias mostrou formato filiforme, com polos pontiagudos e diâmetro de 1,02±0,18cm. O fígado da cutia ocupa todo o espaço cranial da cavidade abdominal, em contato direto com o diafragma. O fluxo vascular intrahepático permitiu individualizar as veias porta (VP) e veias hepáticas (VH). As veias porta foram distinguidas, particularmente pelo padrão ecogênico de suas paredes, quando comparadas com as veias hepáticas...(AU)
Assuntos
Animais , Ultrassonografia , Ultrassonografia/veterinária , Dasyproctidae/anatomia & histologiaResumo
Agoutis are small-sized wild animals whose body weight can reach up to 4kg, and are found throughout Brazil. They are considered important seed dispersers, especially for big trees and there are species that rely almost exclusively on these animals for their territorial distribution. The objective of the present study was B scan and Doppler ultrasound characterization of the abdominal organs of healthy agoutis reared in captivity. Fifteen agoutis, chemically restrained, were used from the Nucleus for Wild Animal Studies and Conservation (Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS), CCA-UFPI, submitted to B scan and Doppler ultrasound examination. The urinary bladder wall was hyperechogenic, thin, smooth and regular throughout its anatomic path, with 0.09±0.03cm mean thickness. The kidneys showed fine and homogeneous echotexture, preserved global echogenicity, hyperechogenic in relation to the spleen and isoechogenic or discreetly hyperechogenic in relation to the liver. The spectral Doppler trace showed systolic and diastolic peaks, wide and thread-like, with low flow resistance and a continuous and full diastolic portion that decreased gradually during the diastole (75.83±1.42cm/s, for the right kidney and 80.43±1.22cm/s, for the left kidney). The right adrenal gland was 0.61-1.18cm long and 0.17-0.32cm in diameter, while the left adrenal gland was 0.62-1.16 long with 0.14-0.25cm diameter. The agouti spleen was filiform in shape, with pointed poles and 1.02±0.18cm in diameter. The agouti liver occupied all the abdominal cavity cranial space in direct contact with the diaphragm. The intrahepatic vascular flow allowed individualization of the portal vein (PV) and hepatic vein (HV). The portal veins were distinguished from the hepatic veins mainly by their wall echogenic pattern. The pancreas was 0.51±0.1 cm thick and the pancreatic duct measured 0.12±0.02cm. The stomach was placed to the left the spleen and to the right of the proximal intestine and the transversal colon and the walls were 0.16±0.05cm thick. The abdominal aorta was 0.43±0.04cm in diameter and showed 95.2±2.16cm/s vascular flow. This study characterized agouti organs and abdominal blood vessels by B scan and Doppler ultrasound, that permitted definition of the size, shape, position, echogenicity and echotexture of the anatomic constituents and established reference values for the vascular network and blood flow in the species.(AU)
As cutias são animais silvestres de pequeno porte, cujo peso corpóreo pode chegar até 4kg, e existem em todo território brasileiro. São considerados importantes dispersores de sementes, especialmente para árvores de grande porte, existindo espécies que dependem quase que exclusivamente destas para sua distribuição territorial. Este trabalho teve por objetivo a caracterização ultrassonográfica modo B e Doppler dos órgãos abdominais de cutias hígidas criadas em cativeiro. Foram utilizadas 15 cutias, contidas quimicamente, oriundas do Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS, CCA-UFPI, submetidas a exame ultrassonográfico em modo B e Doppler. A parede da vesícula urinária presentou-se hiperecogênica, fina, lisa e regular em todo seu trajeto anatômico, com espessura média de 0,09±0,03cm. Os rins demonstraram ecotextura fina e homogênea, ecogenicidade global preservada, hipoecogênico em relação ao baço e isoecogênico ou discretamente hipoecogênico em relação ao fígado. O traçado em Doppler espectral mostrou pico sistólico e diastólico, amplo e afilado, exibindo baixa resistência de fluxo, com uma porção diastólica contínua e cheia, que diminui gradativamente no decorrer da diástole (75,83±1,42cm/s para o rim direito e 80,43±1,22 cm/s para o esquerdo. A adrenal direita apresentou uma variação de comprimento entre 0,61 a 1,18cm e diâmetro variando entre 0,17 a 0,32cm, enquanto a adrenal esquerda evidenciou comprimento de 0,62 a 1,16 e diâmetro de 0,14 a 0,25cm. O baço das cutias mostrou formato filiforme, com polos pontiagudos e diâmetro de 1,02±0,18cm. O fígado da cutia ocupa todo o espaço cranial da cavidade abdominal, em contato direto com o diafragma. O fluxo vascular intrahepático permitiu individualizar as veias porta (VP) e veias hepáticas (VH). As veias porta foram distinguidas, particularmente pelo padrão ecogênico de suas paredes, quando comparadas com as veias hepáticas. A espessura do pâncreas foi de 0,51±0,1cm e o ducto pancreático mediu 0,12±0,02cm. O estômago relaciona-se à esquerda com o baço e a direita com o duodeno proximal e colón transverso. Sua espessura de parede mensurada foi de 0,16±0,05cm. A aorta abdominal possui diâmetro de 0,43±0,04cm e fluxo vascular de 95,2±2,16cm/s. Este estudo caracterizou os órgãos e vasos sanguíneos abdominais de cutias, por meio de ultrassonografia modo B e Doppler, o que permitiu definir o tamanho, formato, posição, ecogenicidade, ecotextura dos constituintes anatômicos, além de estabelecer valores de referência para a rede vascular e fluxo sanguíneo na espécie.(AU)
Assuntos
Animais , Ultrassonografia/estatística & dados numéricos , Ultrassonografia/veterinária , Dasyproctidae/anatomia & histologiaResumo
Exocrine pancreatic insufficiency (EPI), a common disease indogs, is mainly caused by pancreatic acinar atrophy, followedby chronic pancreatitis and pancreatic duct obstruction, withconsequent inadequate secretion of pancreatic enzymes.The present paper is a case report observed in a male eightyear-old dog that had the diagnosis of EPI suggested by thefecal proteolytic activity test (X-ray film proof). To date, thetreatment given with pancreatic enzyme supplementation andadequate diet has been able to promote the resolution of theclinical condition.
A insuficiência pancreática exócrina (IPE), doença comum principalmenteem cães, é causada, usualmente, pela atrofia acinar dopâncreas, seguida de pancreatite crônica e obstrução do ductopancreático, com consequente secreção inadequada de enzimaspancreáticas. O caso clínico descrito foi observado em um cão,macho, de oito anos de idade, em que o diagnóstico de IPE foilevantado pelo resultado do teste da atividade proteolítica fecal(prova do filme de raio-x). Até o presente momento, o tratamentoinstituído com suplementação de enzimas pancreáticas eadequação da dieta propiciou a resolução do quadro clínico.
Assuntos
Animais , Cães , Insuficiência Pancreática Exócrina/diagnóstico , Insuficiência Pancreática Exócrina/veterinária , Estudos Clínicos como Assunto , Tripsina/análiseResumo
Exocrine pancreatic insufficiency (EPI), a common disease indogs, is mainly caused by pancreatic acinar atrophy, followedby chronic pancreatitis and pancreatic duct obstruction, withconsequent inadequate secretion of pancreatic enzymes.The present paper is a case report observed in a male eightyear-old dog that had the diagnosis of EPI suggested by thefecal proteolytic activity test (X-ray film proof). To date, thetreatment given with pancreatic enzyme supplementation andadequate diet has been able to promote the resolution of theclinical condition.(AU)
A insuficiência pancreática exócrina (IPE), doença comum principalmenteem cães, é causada, usualmente, pela atrofia acinar dopâncreas, seguida de pancreatite crônica e obstrução do ductopancreático, com consequente secreção inadequada de enzimaspancreáticas. O caso clínico descrito foi observado em um cão,macho, de oito anos de idade, em que o diagnóstico de IPE foilevantado pelo resultado do teste da atividade proteolítica fecal(prova do filme de raio-x). Até o presente momento, o tratamentoinstituído com suplementação de enzimas pancreáticas eadequação da dieta propiciou a resolução do quadro clínico.(AU)
Assuntos
Animais , Cães , /classificação , Insuficiência Pancreática Exócrina/diagnóstico , Insuficiência Pancreática Exócrina/veterinária , Estudos Clínicos como Assunto , Tripsina/análiseResumo
O diabetes mellitus tipo I é uma doença autoimune caracterizada pela destruição das células pancreáticas causando a redução da produção de insulina. É uma disfunção comum que afeta cães de todo o mundo, sendo um grande desafio para Veterinários e tutores em manter o controle adequado da hiperglicemia e, assim, reduzir os sintomas. Foi descrito em ratos e humanos que os organóides pancreáticos podem expressar genes progenitores como LGR5, ALD1A1, NGN3 e SOX9, mesmo em meio de expansão. Além disso, os organóides ductais pancreáticos, em meio de diferenciação adequado, podem gerar células . Estabelecemos os primeiros organóides pancreáticos caninos adultos através do isolamento de células pancreáticas ductais de tecido fresco e congelado originado de cães saudáveis. Para isolar as células pancreáticas ductais foram utilizadas colagenase I + dispase e tripsina. Protocolos de congelamento e descongelamento em diferentes passagens sem perda de capacidade de proliferação e alterações morfológicas foram observados. Na análise de genes alvo usando qPCR mostrando as células do ducto pancreático proliferaram com a expressão de genes progenitores multipotentes.
Type I diabetes mellitus is an autoimmune disease characterized by the destruction of pancreatic cells causing the reduction of insulin production. It is a common disfunction that affects dogs from all over the world, being a great challenge for Veterinarians and tutors in maintaining adequate control of hyperglycemia and, thus, reducing symptoms. It was described in mice and humans that pancreatic organoids can express progenitors genes as LGR5, ALD1A1, NGN3 and SOX9, even in expansion medium. Besides, pancreatic ductal organoids, in suitable differentiation medium, can generate cells. We established the first adult canine pancreatic organoids through ductal pancreatic cells isolation from fresh and frozen tissue originating from healthy dogs. To isolate the ductal pancreatic cells collagenase I + dispase and trypsin were used. It was observed that freezing and thawing protocols in different passages without loose proliferation capacity and morphology changes. In the analysis of target genes using qPCR showing the pancreatic duct cells proliferated with the expression of multipotent progenitor genes.
Resumo
Euritrematose bovina é causada pelo Eurytrema coelomaticum, um trematódeo de ductos pancreáticos de ruminantes, predominantemente nos estados do sul do Brasil. Lesões pancreáticas macroscópicas foram relacionadas à atrofia pancreática, pancreatite intersticial fibrosante e obliteração total ou parcial dos ductos pancreáticos. Conjectura-se que possam ocasionar transtornos nas funções secretoras do pâncreas, mais especificamente nos processos digestivos e metabólicos dependentes destas. O objetivo deste trabalho foi determinar se há diminuição das enzimas pancreáticas a nível intestinal, alterações séricas ou hematológicas em bovinos parasitados, correlacionado-as a carga parasitária. Foram utilizados pâncreas e respectivas amostras de sangue e fezes de 119 bovinos, machos e fêmeas, pertencentes a diferentes raças e oriundos de diferentes propriedades rurais, provenientes de abatedouro municipal de Concórdia-SC. As amostras de fezes foram mantidas em geladeira à 4oC, até o momento de serem submetidas aos testes de digestão da gelatina em tubo e digestão de filme radiográfico. Foram realizados os seguintes exames bioquímicos: amilase, lipase, glicemia, frutosamina, colesterol, triglicerídios, proteínas totais, albumina e globulinas. Após isto, as análises bioquímicas foram correlacionadas com a quantidade numérica de parasitas encontrados no pâncreas (post-mortem). A prevalência da euritrematose na região foi de aproximadamente 60%. Houve maior quantidade de testes negativos (digestão do filme radiográfico e prova de digestão da gelatina) nos animais com alta carga parasitária (p<0.001), quando comparados aos animais não parasitados e com com baixa carga parasitária. Portanto, os exames supracitados se alteram somente se a quantidade de parasitas for moderada ou severa. As atividades das enzimas amilase e lipase foram significativamente maiores nos animais que apresentavam baixa parasitemia (p<0.05), em comparação com os animais com alta carga parasitária e não parasitados. Ainda, os animais altamente parasitados pelo E. coelomaticum demonstraram hiperproteinemia por hiperglobulinemia (p<0.05), correlacionando-se isto a resposta inflamatória com formação de anticorpos. Conclui-se que em quadros de alta parasitemia, há alteração significativa nos testes de digestão nas fezes, e que em quadros de baixa parasitemia há alterações significativas nos valores de amilase e lipase séricas, ambos comprovando alterações pancreáticas importantes, de acordo com o quadro de parasitemia.
Bovine Euritrematosis in Brazil is caused by Eurytrema coelomaticum, a trematode of pancreatic ducts in ruminants, mainly in the southern states. Macroscopic pancreatic lesions were related to pancreatic atrophy, fibrous interstitial pancreatitis, and total or partial pancreatic duct obliteration. It is conjectured these lesions may cause disorders in the secretory functions of the pancreas, as well as, digestive and metabolic processes dependent on them. The aim of this work was to determine if there is a decrease in the digestibility of nutrients, serum, hematological and fecal changes in parasitized cattle correlated with parasite burden. Pancreas and respective blood and fecal samples from 119 bovines, belonging to different breeds and farms, collected at a slaughterhouse in Concórdia-SC, were used. Stool samples were kept at 4oC until they were subjected to tub gelatin digestion tests and radiographic film digestion. The following biochemical tests were performed: amylase, lipase, glycemia, fructosamine, cholesterol, triglycerides, total proteins, albumin, and globulins. Analyzes were correlated with pancreatic parasite burden. The prevalence of euritrematosis in the region was approximately 60%. Cattle with a high parasitic load presented high incidence of negative tests in both the radiographic film digestion and the gelatin digestion (p<0.001), when compared to non-parasitized animals and those with low parasitic load; demonstrating changes in the above mentioned exams only if the parasitemia is moderate or severe. The activities of the amylase and lipase enzymes were significantly higher in animals with low parasitemia (p<0.05), compared to animals with high parasitic burden and non-parasitized. Also, animals highly parasitized by E. coelomaticum demonstrated hyperproteinemia due to hyperglobulinemia (p<0.05), correlating this with the antibodies titers due to inflammatory response. It is concluded that in cases of high parasitemia, there is a significant change in the tests of digestion in feces and that in cases of low parasitemia there are significant changes in the values of serum amylase and lipase, both proving biochemical changes in the pancreatic profile, according to parasitemia.