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Right laparoscopic adrenalectomy in a bitch

Souza, Fernando Wiecheteck de; Gomes, Cristiano; Kasper, Priscila Natasha; Oliveira, Marília Teresa de; Feranti, João Pedro Scussel; Dornbusch, Peterson Triches; Huppes, Rafael Ricardo; Daniel, Lucas Lubassinski; Brun, Maurício Veloso; Sprada, Arícia Gomes; Pazzini, Josiane Morais.
Acta Sci. vet.; 44(supl): 01-04, 2016. ilus
Artigo em Inglês | VETINDEX | ID: vti-482945


Background: The medical procedure of Laparoscopic adrenalectomy is common in human medicine; however, this is not true in veterinary medicine, where it isperformed rarely. The current treatment of choice for adrenal neoplasms is total adrenalectomy, unless there is a pre-operativediagnosis of metastasis that precludes surgery. The laparoscopic approach option becomes an interesting alternative because, through this technique,it has shown good results. In this report, we demonstrate the experience of a case in which we performed unilateral laparoscopic right adrenalectomy, without caudal vena cava invasion, in a dogsuffering from hyperadrenocorticism caused by adrenocortical carcinoma. Case: A 9-year-old beagle bitch, 12 kg in weight, showedpolyphagia, polydipsia, polyuria, pendular abdomen, thin and dark skin, lumbar alopecic areas and lethargy. The team carried out Complete Blood Count (CBC), blood chemistry (liver and renal functions) and urine sampling by cystocentesis for urinalysis and bacterial culture. All exams had normal results, except for ALP, which reached levels higher than 150 UIL-1. On abdominal radiographic examination, we noted mild adrenal enlargement, and by ultrasonography, it was possible to identify adrenal asymmetry and right adrenal enlargement (2.8x2x2.15 cm) in relation to the left gland (2x1x1.5 cm). As a treatment for adrenal neoplasm-dependent HAC [...](AU)
Biblioteca responsável: BR68.1
Localização: BR68.1