Yuki Masashi, Sugimoto Noriko, Takahashi Kuniaki, Ohtsuka Hiromi, Nishii Naohito, Suzuki Kiyomi
Yuki Animal Hospital, Nagoya 455-0021, Japan.
J Feline Med Surg. 2006 Oct;8(5):349-52. doi: 10.1016/j.jfms.2006.03.004. Epub 2006 Jun 9.
An 8-year-old female Persian cat was brought in for evaluation of chronic vomiting. The presence of opaque enteric foreign bodies and intestinal obstruction along with azotaemia, hyperphosphataemia, moderate anaemia and peritoneal fluid were revealed following appropriate diagnostic work-up. Exploratory laparotomy confirmed jejunoileal dilation, ileocaecal stenosis, and numerous foreign objects in the jejunoileum. These foreign objects and ileocaecal stenosis were surgically removed, and intestinal resection and anastomosis was performed. The patient recovered favourably. Analysis revealed that the foreign objects were composed of calcium phosphate and calcium carbonate. Intestinal inflammation and stenosis secondary to enterolithiasis may have developed following ingestion of cat litter or a previous unrelated surgical intervention. We were unable to delineate the inciting pathogenesis in this particular case.
一只8岁的雌性波斯猫因慢性呕吐前来评估。经过适当的诊断检查,发现存在不透明的肠道异物和肠梗阻,同时伴有氮血症、高磷血症、中度贫血和腹腔积液。剖腹探查证实空肠回肠扩张、回盲部狭窄,空肠回肠内有大量异物。这些异物和回盲部狭窄通过手术切除,并进行了肠切除吻合术。患者恢复良好。分析显示,异物由磷酸钙和碳酸钙组成。摄入猫砂或先前无关的手术干预后,可能继发肠结石导致肠道炎症和狭窄。在这个特殊病例中,我们无法确定引发的发病机制。