Saulnier-Troff F G, De Busscher V, Hamaide A
Department of Clinical Sciences, School of Veterinary Medicine, 4000 Liège, Belgium.
J Small Anim Pract. 2008 Jul;49(7):356-8. doi: 10.1111/j.1748-5827.2007.00451.x.
An 11-year-old, entire male coton de tulear was presented on emergency with acute and severe depression, acute abdominal pain and vomiting of 24 hours duration. Historical complaints included right perineal swelling, dyschezia and tenesmus of 18 months duration. Abdominal ultrasonography and radiography suggested a pneumoperitoneum and positive-contrast colonography showed leakage of contrast medium into the caudal abdomen and the presence of a large retroperitoneal pouch. Exploratory laparotomy allowed the visualisation of faecal leakage from the retroperitoneal space into the peritoneal cavity. Using a perineal approach, a large necrotised rectal diverticulum filled with faeces was found over the retroperitoneal structures. A standard herniorrhaphy was then performed. The dog recovered uneventfully and dyschezia did not recur at the nine month follow-up. Rectal diverticulum rupture associated with peritonitis has not been described in the veterinary literature, to the authors' knowledge, and should be considered as a rare differential diagnosis in dogs being presented with gaseous peritonitis.
一只11岁的雄性纯种棉花面纱犬因急性重度抑郁、急性腹痛和持续24小时的呕吐前来急诊。既往病史包括持续18个月的右侧会阴肿胀、排便困难和里急后重。腹部超声和X光检查提示气腹，阳性造影剂结肠造影显示造影剂漏入尾腹部且存在一个大的腹膜后袋。剖腹探查术可见粪便从腹膜后间隙漏入腹腔。采用会阴入路，在腹膜后结构上方发现一个充满粪便的大坏死直肠憩室。随后进行了标准的疝修补术。该犬恢复顺利，在9个月的随访中排便困难未复发。据作者所知，兽医文献中尚未描述直肠憩室破裂伴腹膜炎的情况，在出现气性腹膜炎的犬中应将其视为一种罕见的鉴别诊断。
