Dart A J, Snyder J R, Pascoe J R
Veterinary Medical Teaching Hospital, University of California, Davis 95616.
Aust Vet J. 1991 Feb;68(2):61-4. doi: 10.1111/j.1751-0813.1991.tb03135.x.
A 17-year-old Quarter Horse, Arabian crossbred mare presented with a history of having had abdominal pain for 2 d. At surgery there was 2.6 m of descending colon strangulated within the pedicle of a mesenteric lipoma. The lipoma was resected and the descending colon appeared viable so was replaced, and the mare recovered from anaesthesia. Post-operatively, the mare failed to stabilise so was taken back to surgery. There was 2 m of infarcted descending colon which was resected and anastomosed. A drain and stainless steel stay sutures were incorporated into the ventral suture line. Post-operatively the ventral wound became infected but was resolved with therapy. The diagnosis, surgical and post-operative management and outcome are discussed.
一匹17岁的夸特马与阿拉伯马的杂交母马，有2天腹痛病史。手术中发现降结肠2.6米在肠系膜脂肪瘤蒂内发生绞窄。脂肪瘤被切除，降结肠看起来仍有活力，于是将其复位，母马从麻醉中苏醒。术后，母马病情未能稳定，因此再次接受手术。有2米降结肠梗死，予以切除并吻合。在腹侧缝合线处放置了引流管和不锈钢支撑缝线。术后腹侧伤口发生感染，但经治疗后痊愈。本文讨论了诊断、手术及术后管理和结果。
