Partial hepatectomy for treatment of multiple liver abscess in a calf: a case report.

Sato, Reiichiro; Yamada, Kazutaka; Yokoyama, Taiki; Tanimoto, Koki; Takeuchi, Shoko; Tatsuzawa, Natsumi; Nakui, Shiho; Satoh, Hiroyuki; Fadul, Mahmoud; Steiner, Adrian (2021). Partial hepatectomy for treatment of multiple liver abscess in a calf: a case report. BMC veterinary research, 17(1), p. 67. BioMed Central 10.1186/s12917-021-02750-y

[img]
Preview
Text
s12917-021-02750-y.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (1MB) | Preview

BACKGROUND

Umbilical vein bacterial infections may cause liver abscesses during bacterial ascent. A single liver abscess can be surgically treated by marsupialization, but a risk of recurrence or non-healing remains. Moreover, there is no effective treatment for multiple abscesses.

CASE PRESENTATION

A 17-day-old Holstein female calf exhibited reduced general condition, swelling and drainage of the umbilicus, and pressure sores in the area of the carpus, resulting in reluctance to stand up. The umbilicus showed pain at palpation; deep abdominal palpation indicated a swollen umbilical vein coursing from the umbilicus toward the liver. Ultrasonography confirmed a swollen umbilical vein with pus accumulation and multiple abscesses in the liver. Contrast-enhanced computed tomography (CT) examination confirmed that the swollen umbilical vein with fluid continued to the liver, and multiple unenhanced lesions, most likely abscesses, were confirmed in the liver. Partial hepatectomy was performed to remove as many abscesses as possible. For the resection, a vessel sealing device (LigaSureTM) was used to excise a part of the left liver lobe. As we could not remove all the abscesses in the liver during the operation, cefazolin sodium (5 mg/kg) was administered for 14 days after surgery. Post-operatively, blood accumulation was observed in the abdominal cavity, but no signs of peritonitis were found. The calf returned to the farm on day 38 after surgery. Follow-up information was obtained after 1 year, and complications were not reported.

CONCLUSIONS

To our knowledge, this is the first report of partial hepatectomy using a vessel sealing device for a calf with multiple liver abscesses. This case report suggests that the combination of partial hepatectomy and long-term administration of antibacterial drugs may restore the health of calves with multiple liver abscesses.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV)
05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Clinic for Ruminants

UniBE Contributor:

Fadul, Mahmoud Mohamed Osman and Steiner, Adrian

Subjects:

500 Science > 590 Animals (Zoology)
600 Technology > 610 Medicine & health
600 Technology > 630 Agriculture

ISSN:

1746-6148

Publisher:

BioMed Central

Language:

English

Submitter:

Nathalie Viviane Zollinger

Date Deposited:

12 Feb 2021 17:08

Last Modified:

14 Feb 2021 03:16

Publisher DOI:

10.1186/s12917-021-02750-y

PubMed ID:

33536012

Uncontrolled Keywords:

Calf Computed tomography Ligasure Liver abscess Omphalophlebitis Partial hepatectomy Ultrasonography

BORIS DOI:

10.48350/152164

URI:

https://boris.unibe.ch/id/eprint/152164

Actions (login required)

Edit item Edit item
Provide Feedback