最後更新:2026年10月1日
肝臟囊腫是肝臟內充滿液體的囊性病變,可為先天性或後天性。多數為偶然發現的良性病變,但需與膽管囊腺瘤或膿瘍等鑑別。
貓肝臟囊腫罕見。波斯貓可合併多囊腎與多囊肝。
犬肝臟囊腫罕見,多為偶然超音波發現。先天性多囊肝病偶見於 Cairn Terrier 等品種。多數單純性囊腫無臨床意義。
建議:含 Dextrose 的晶體液 (2.5-5% Dextrose),避免 LRS(肝功能不全時乳酸代謝差)
類型:LRS
監測頻率:每日觀察
[1]Time course of histopathological changes after bleomycin sclerotherapy in rabbit gallbladders as a model for simple hepatic cysts.
[2]Bile Acids as Potential Biomarkers to Assess Liver Impairment in Polycystic Kidney Disease.
[3]Increased YAP Activation Is Associated With Hepatic Cyst Epithelial Cell Proliferation in ARPKD/CHF.
建議數日內就診評估,非立即危及生命但不宜拖延 (evaluation within days recommended, not immediately life-threatening)
單純性肝臟囊腫預後極佳,多數不影響生活品質與壽命。多囊肝病視肝功能受損程度而定。腫瘤性囊腫需依組織學類型評估預後。
Diagnostic Approach for Hepatic Cyst
Evaluate for jaundice, ascites, hepatomegaly, neurological signs (hepatic encephalopathy)
Serum chemistry (ALT, ALP, GGT, bilirubin, albumin, BUN), serum bile acids, ammonia
Abdominal ultrasound; coagulation profile before biopsy; percutaneous or laparoscopic liver biopsy