Premium
Salmonella hepatic abscess as a sequel to liver lobectomy and biopsy in a dog with hepatocellular adenoma
Author(s) -
Milodowski Emily Jayne,
Lamb Christopher R,
Lee Karla C L
Publication year - 2017
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2017-000511
Subject(s) - medicine , hepatocellular adenoma , hepatic abscess , liver abscess , liver biopsy , biopsy , nodule (geology) , adenoma , histopathology , abscess , hepatectomy , complication , radiology , surgery , pathology , resection , paleontology , biology
A dog underwent complete surgical excision of a hepatocellular adenoma by right lateral liver lobectomy and incisional biopsy of a regenerative hepatic nodule of the left lateral lobe. The dog re‐presented eight months later with weakness, pyrexia and elevated liver enzymes. CT demonstrated a large irregular isodense left liver mass. The mass was resected by left lateral liver lobectomy. Histopathology and culture revealed hepatic abscess with Salmonella species. Surgery was followed by a six‐week course of cephalexin, resulting in cure. This is the first report of successful treatment of hepatic abscess involving Salmonella species in a dog, following liver lobectomy and liver biopsy for management of hepatocellular adenoma. This report highlights hepatic abscesses as a potential late complication of surgery for hepatocellular neoplasia; reviews potential challenges in diagnosing hepatic abscesses on the basis of ultrasound and CT; and demonstrates successful treatment of hepatic salmonellosis, a potential zoonotic infection.