Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.
Vet Rec. 2009 Dec 12;165(24):718-21.
Four cases in cattle of omental herniation through an acquired omental rent are described. Clinical signs were indistinguishable from other causes of mechanical ileus and exploratory laparotomy was necessary to establish a diagnosis. In all cases a variably sized portion of jejunal loops was obstructed in an omental rent in the deep layer of the greater omentum. In two cases simple reduction was possible, and in one case incision of the hernial ring was necessary before reduction could be performed. Resection was necessary only in a calf, in which the incarceration was complicated by severe abomasal distension and local peritonitis. In all four cases the omental rent was closed by a serosa-serosa suture. Three cases made an uneventful recovery and returned to normal production, but one of these animals died three months postoperatively from an unknown cause. The calf was euthanased two days postoperatively because of persistent ileus.
描述了牛通过后天性网膜裂孔发生网膜疝的 4 个病例。临床症状与其他机械性肠梗阻的原因无法区分,因此需要进行剖腹探查以明确诊断。在所有病例中,大小不一的部分空肠环在大网膜深层的网膜裂孔中受阻。在 2 个病例中可以进行简单的复位,而在 1 个病例中,在进行复位之前需要切开疝环。仅在一头小牛中需要进行切除术,因为其嵌顿伴有严重的皱胃膨胀和局部腹膜炎。在所有 4 个病例中,网膜裂孔均通过浆膜-浆膜缝线关闭。3 个病例恢复顺利并恢复正常生产,但其中 1 个动物在术后 3 个月因不明原因死亡。由于持续的肠梗阻,小牛在术后 2 天被安乐死。