Intraoperative hypertensive crisis in a dog with functional paraganglioma of the gall bladder

Author:

Horikirizono H.12ORCID,Nakaichi M.1,Itoh H.1,Itamoto K.1,Nemoto Y.1,Sunahara H.1,Tani K.1

Affiliation:

1. Joint Faculty of Veterinary Medicine Yamaguchi University 1677‐1, Yoshida Yamaguchi 753‐8515 Japan

2. Animal Medical Centre, Faculty of Applied Biological Sciences Gifu University 1‐1, Yanagido Gifu 501‐1193 Japan

Abstract

A 15‐year‐old spayed female mongrel presented with anorexia and an abdominal mass. The mass originated from the gall bladder and was surgically resected along with divisionectomy of the central hepatic division. Paroxysmal hypertension and tachycardia were noted during manipulation of the mass. Following resection, arterial blood pressure decreased significantly. Histopathological analysis confirmed a diagnosis of neuroendocrine neoplasm. Immunohistochemical staining for synaptophysin and chromogranin A yielded diffuse and strong positive results, while gastrin was positive in only 10% of the cells. The preoperative elevated concentrations of catecholamine in the urinalysis showed a marked decrease after surgery. Based on these findings, the tumour was diagnosed as a functional paraganglioma of the gall bladder. The patient has undergone regular thoracic radiographs and ultrasound examinations and, until 431 days after surgery, has shown no signs of metastases or recurrences. Based on our literature search, we report the first case of functional paraganglioma of the gall bladder in a dog.

Publisher

Wiley

Subject

Small Animals

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