Tuttle Allison D, MacLean Robert A, Linder Keith, Cullen John M, Wolfe Barbara A, Loomis Michael
Department of Clinical Sciences, College of Veterinary Medicine at North Carolina State University, 4700 Hillsborough Street, Raleigh, North Carolina 27606, USA.
J Zoo Wildl Med. 2009 Mar;40(1):193-5. doi: 10.1638/2007-0030.1.
A captive adult male grizzly bear (Ursus arctos horribilis) was evaluated due to multifocal wounds of the skin and subcutaneous tissues sustained as a result of trauma from another grizzly bear. On presentation, one lesion that was located in the perineal region seemed to be a deep puncture with purple tissue protruding from it. This perineal wound did not heal in the same manner or rate as did the other wounds. Twenty-five days after initial detection, substantial active hemorrhage from the lesion occurred and necessitated anesthesia for examination of the bear. The entire lesion was surgically excised, which later proved curative. An acquired arteriovenous fistula was diagnosed via histopathology. Arteriovenous fistulas can develop after traumatic injury and should be considered as a potential complication in bears with nonhealing wounds.
一只圈养的成年雄性灰熊(棕熊指名亚种)因受到另一只灰熊的创伤而出现皮肤和皮下组织多处伤口,遂接受评估。就诊时,位于会阴区域的一处损伤似乎是一个深部穿刺伤,有紫色组织从中突出。该会阴伤口的愈合方式和速度与其他伤口不同。初次发现25天后,该损伤出现大量活动性出血,因此必须对这只熊进行麻醉以便检查。整个损伤被手术切除,后来证明这一治疗是有效的。通过组织病理学诊断为后天性动静脉瘘。动静脉瘘可在创伤后形成,对于有不愈合伤口的熊应考虑这一潜在并发症。