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犬慢性原发性脾扭转伴腹膜粘连:病例报告及文献综述

Chronic primary splenic torsion with peritoneal adhesions in a dog: case report and literature review.

作者信息

Weber N A

机构信息

Bloomington Veterinary Hospital, Minnesota 55420, USA.

出版信息

J Am Anim Hosp Assoc. 2000 Sep-Oct;36(5):390-4. doi: 10.5326/15473317-36-5-390.

Abstract

Primary splenic torsion in dogs is uncommon and can occur in acute or chronic form. The chronic form is difficult to diagnose because the clinical signs are vague and sometimes intermittent. A dog with a history of diaphragmatic hernia repair two years previously presented with chronic, vague clinical signs and an abdominal mass. The mass was revealed to be spleen on ultrasonography. On exploratory laparotomy, the dog was found to have a splenic torsion of approximately 180 degrees with mature, fibrous adhesions retaining the spleen in a torsed position. A splenectomy was performed, and the dog recovered uneventfully with complete resolution of prior clinical signs. Prognosis for dogs with splenic torsion is good, although complications are relatively common.

摘要

犬原发性脾扭转并不常见,可呈急性或慢性形式。慢性形式难以诊断,因为临床症状模糊,有时还呈间歇性。一只两年前有膈疝修补病史的犬出现慢性、模糊的临床症状及腹部肿块。超声检查显示该肿块为脾脏。在剖腹探查时,发现这只犬有大约180度的脾扭转,伴有成熟的纤维粘连,使脾脏处于扭转位置。进行了脾切除术,该犬顺利康复,先前的临床症状完全消失。尽管并发症相对常见,但犬脾扭转的预后良好。

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