Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Severe Intestinal Distension in a Dog with Primary Hypoparathyroidism

일차성 부갑상샘기능저하증에 이환된 개에서 장확장증 발생 증례

  • Kim, Dong-In (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Hye-Sun (College of Veterinary Medicine, Chungbuk National University) ;
  • Chang, Dongwoo (College of Veterinary Medicine, Chungbuk National University) ;
  • Yang, Mhan-Pyo (College of Veterinary Medicine, Chungbuk National University) ;
  • Kang, Ji-Houn (College of Veterinary Medicine, Chungbuk National University)
  • Accepted : 2014.06.16
  • Published : 2014.06.30
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Abstract

An 1-year-old, female, mixed-breed dog weighing 17 kg was referred for abrupt collapse. She had remarkable hypocalcemia and hyperphosphatemia, and survey radiographs revealed a severe gas-filled intestine. Treatment with serial injections of calcium gluconate was initiated promptly and most of the gastrointestinal distension disappeared after 4 h. However, the clinical signs were not resolved completely. The serum intact parathyroid hormone concentration was not elevated in the context of hypocalcemia, which suggested primary hypoparathyroidism. The clinical signs and laboratory abnormalities in the patient were resolved completely 3 days after administration of calcium gluconate and calcitriol. This case describes the unique presentation of severe gastrointestinal distension in a dog diagnosed with primary hypoparathyroidism.

1세, 암컷, 17 kg의 잡종견이 갑작스러운 허탈증상으로 본원에 내원하였다. 혈액 검사 결과에서 심각한 저칼슘혈증을 보였으며, 방사선 사진 영상에서는 장 폐색을 의심하게 하는 가스로 가득 찬 장확장증 소견을 나타내었다. 칼슘 글루코네이트의 정맥 내 투여를 시작한 후 4시간째에 장 확장 소견은 경감되었다. 혈청 부갑상샘호르몬 농도는 저칼슘혈증에 비해 정상 범위 아래로 측정되었으며, 이를 기초로 하여 환견은 일차성 부갑상샘기능저하증으로 진단되었다. 칼슘 글로코네이트와 칼시트리올의 투여 3일 후, 환견의 임상증상과 전해질 불균형은 개선되었다. 본 보에서는 일차성 부갑상샘기능저하증으로 진단된 개에서 일반적으로 관찰되지 않는 증상인 심각한 위장관 확장증의 발생 예를 보고한다.

Keywords

References

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