Ультрасонографічні характеристики триадиту у свійських котів

Abstract

Проведені ультрасонографічні дослідження направлені на встановлення структурних змін органів гепатобіліарної системи, підшлункової залози та тонкого відділу кишечнику свійських котів, за триадиту. Встановлено гіперехогенність паренхіми печінки та підшлункової залози, згладжування паренхіматозної структури органів, неоднорідність та потовщення стінок кишечника, метеоризми.

The performed ultrasonographic research is aimed at establishing structural changes in the hepatobiliary system, pancreas and a thin part of the intestines of domestic cats with triaditis. Hypoergenicity of the parenchyma of the liver and pancreas has been established, smoothing of parenchymal organ structure, heterogeneity and thickening of intestinal walls, flatulence. Triaditis in domestic cats affects various organs, therefore, clinical manifestations are characteristic of multiple organ failure, at the beginning of the disease they are weakly expressed or nonspecific. Thus, the main clinical manifestations of triaditis in domestic cats are oppression, loss of appetite, diarrhea. The obtained results of biochemical studies indicate a compatible pathology of the liver, pancreas and intestines in varying degrees of severity of the pathological process. In order to establish structural changes in organs affected by pathology we conducted sonographic studies of the abdominal cavity organs, namely the liver and gall bladder, pancreas, intestines, according to the generally accepted scheme. During ultrasonography, it is necessary to differentiate between intestinal obstruction, neoplasms and gallstone disease. It should be remembered that the lack of structural changes in the liver, bile ducts does not exclude the presence of hepatopathies. For cholangitis in the cats often record the diffuse hypoechoic structure of the liver simultaneously with the expressed vascular pattern. Characteristic are signs of cholecystitis, such as thickening of the walls of the gall bladder, biliary slag. It is difficult to visualize the pathology of the pancreas. Normally, in domestic cats it is almost not visualized. An increase in the size of the pancreas with a simultaneous decrease in its echogenicity may indicate a pancreatitis. After analyzing the data obtained, we established a number of specific ultrasonographic signs of triaditis in domestic cats, namely: reduction of the echogenicity of the liver and pancreas parenchyma, smoothing of the parenchymal organ structure, thickening of the walls of the gall bladder, heterogeneity and thickening of the intestinal walls, flatulence. The use of the term "triaditis" in relation to domestic cats indicates a combination of pancreatitis with cholangiohepatitis and inflammatory processes in the intestine, that is, three inflammatory diseases – liver, pancreas and intestine. The main clinical manifestations of triaditis are nonspecific: oppression, loss of appetite, diarrhea. Characteristic sonographic features of triaditis are: increase in the size and decrease echogenicity of parenchyma of the liver and pancreas, smoothing of parenchymal organ structure, thickening of the walls of the gall bladder, heterogeneity and thickening of the walls of the intestine, flatulence.