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Hepatic abscesses in dogs: 14 cases (1982-1994)
E T Farrar1, R J Washabau, H M Saunders
1Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010, USA.
Journal of the American Veterinary Medical Association
|January 15, 1996
Summary
Hepatic abscesses in dogs present with common signs of liver disease and are diagnosed using ultrasonography. Both medical and surgical treatments can be successful, with ultrasonography aiding in monitoring treatment response.
Area of Science:
- Veterinary Medicine
- Internal Medicine
- Diagnostic Imaging
Background:
- Hepatic abscesses are uncommon in dogs but mimic other inflammatory liver conditions.
- Early identification of clinical and clinicopathologic signs is crucial.
Purpose of the Study:
- To characterize clinical and clinicopathologic findings in dogs with hepatic abscesses.
- To evaluate treatment outcomes and the role of ultrasonography in diagnosis and monitoring.
Main Methods:
- Retrospective case series of 14 dogs diagnosed with hepatic abscesses.
- Review of clinical signs, clinicopathologic data, radiography, and ultrasonography findings.
- Analysis of treatment protocols (medical and surgical) and outcomes.
Main Results:
- Common signs included anorexia, lethargy, vomiting, fever, and abdominal pain.
- Hematologic findings showed leukocytosis and thrombocytopenia; biochemical tests revealed elevated liver enzymes and bilirubin.
- Ultrasonography identified abnormalities in all cases and was effective in monitoring treatment response.
- Common bacteria isolated included E. coli and Clostridium spp.; concurrent infections were frequent.
- Survival rates were higher with combined surgical and medical treatment (5/6) compared to medical alone (1/1) or no definitive treatment (0/7).
Conclusions:
- Hepatic abscesses in dogs share clinical and clinicopathologic features with other hepatic inflammatory diseases.
- Abdominal ultrasonography is a valuable tool for diagnosing hepatic abscesses and monitoring treatment efficacy.
- Successful treatment outcomes can be achieved with both medical and surgical interventions, particularly when combined.