Neiffer D L, Klein E C, Becker-Courtney C, Marks S K
Pittsburgh Zoo, Pennsylvania 15206, USA.
J Zoo Wildl Med. 1999 Mar;30(1):119-25.
A 2-yr-old female red wolf (Canis rufus gregoryi) presented with weight loss and diarrhea. Abnormal clinical pathology included low serum calcium, sodium, chloride, globulin, and albumin levels. Differential diagnosis included infectious enteritis, intestinal parasitism, inflammatory bowel disease, hepatic or renal disease, and malnutrition. The wolf was treated empirically, but did not improve. A second examination revealed persistent poor musculature and stool quality. Abdominal palpation revealed a firm mass; contrast radiography confirmed an intussusception. Exploratory laparotomy revealed a colocolic intussusception involving the cecum. Following reduction of the colocolic intussusception, cecal inversion (cecocolic intussusception) was identified. Because the cecal inversion could not be reduced, typhlectomy was performed through a colotomy incision. Bacterial culture of peritoneal fluid yielded two strains of Escherichia coli. Postoperatively, the wolf was placed on antibiotics and a soft diet. The diet was gradually returned to its normal formulation and the wolf progressively gained weight. Physical examination 7.5 mo following initial presentation revealed normal body weight and condition. To our knowledge, this is the first recorded incidence of cecal inversion with concurrent colocolic intussusception.
一只2岁的雌性红狼（Canis rufus gregoryi）出现体重减轻和腹泻症状。异常的临床病理学表现包括血清钙、钠、氯、球蛋白和白蛋白水平降低。鉴别诊断包括感染性肠炎、肠道寄生虫病、炎症性肠病、肝脏或肾脏疾病以及营养不良。这只狼接受了经验性治疗，但病情没有改善。第二次检查发现肌肉组织和粪便质量持续不佳。腹部触诊发现一个坚实的肿块；造影检查证实为肠套叠。剖腹探查发现一段涉及盲肠的结肠-结肠套叠。在复位结肠-结肠套叠后，发现盲肠内翻（盲肠-结肠套叠）。由于盲肠内翻无法复位，通过结肠切开术切口进行了盲肠切除术。腹腔液细菌培养产生了两株大肠杆菌。术后，这只狼接受了抗生素治疗并给予软食。饮食逐渐恢复到正常配方，这只狼的体重逐渐增加。初次就诊7.5个月后的体格检查显示体重和身体状况正常。据我们所知，这是首次有记录的并发结肠-结肠套叠的盲肠内翻病例。
