Di Cicco Michael F, Bennett R Avery, Ragetly Chantal, Sippel Kate M
Department of Internal Medicine, North Carolina State University College of Veterinary Medicine, Raleigh, NC, USA.
J Am Anim Hosp Assoc. 2011 May-Jun;47(3):e31-5. doi: 10.5326/JAAHA-MS-5516. Epub 2011 Apr 15.
A 4 yr old, castrated male dachshund was presented for lethargy, restlessness, a "hunched" posture, and a painful abdomen. A gastric foreign body had been surgically removed 24 mo previously. Exploratory celiotomy revealed a devitalized segment of jejunum with twisted mesentery. Several adhesions and fibrous bands were present within the abdomen, presumptively from the previous gastric foreign body surgery. Histopathology determined that a fibrous tissue band caused entrapment of the segment of intestine and its mesentery resulting in volvulus and ischemic necrosis of the intestine. This case is unique because it involved a focal area of the jejunum that was incarcerated in fibrous adhesions.
一只4岁已绝育的雄性腊肠犬因嗜睡、烦躁不安、“弓背”姿势和腹部疼痛前来就诊。24个月前曾通过手术取出胃内异物。剖腹探查发现一段空肠活力丧失且肠系膜扭转。腹腔内存在多处粘连和纤维带，推测是之前胃内异物手术所致。组织病理学检查确定，一条纤维组织带导致该段肠管及其肠系膜受压，进而引起肠扭转和缺血性坏死。该病例较为独特，因为它涉及一段被纤维粘连包裹的空肠局部区域。
