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十二指肠Brunner腺腺瘤导致犬慢性小肠梗阻

Duodenal Brunner's gland adenoma causing chronic small intestinal obstruction in a dog.

作者信息

Bowen E J, Mundy P, Tivers M S, Syme H M, Mantis P, Smyth B, Baines S J

机构信息

Department of Veterinary Clinical Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, UK.

出版信息

J Small Anim Pract. 2012 Feb;53(2):136-9. doi: 10.1111/j.1748-5827.2011.01153.x. Epub 2011 Nov 30.

Abstract

An eight-year-old, neutered, female English springer spaniel was presented with a 14-month history of vomiting, marked weight loss and lethargy, all of which were non-responsive to medical therapy. Abdominal radiographs and ultrasonography showed an intraluminal soft tissue mass extending from the pyloric antrum to the proximal duodenum. Two spherical masses both approximately 8 cm in diameter were removed via a duodenotomy. Histopathological examination showed the first mass to be a trichobezoar and the aboral mass to be a Brunner's gland adenoma. Surgery resulted in a complete resolution of the clinical signs.

摘要

一只八岁已绝育的雌性英国激飞猎犬出现了长达14个月的呕吐、明显体重减轻和嗜睡症状,所有这些症状对药物治疗均无反应。腹部X光片和超声检查显示,一个腔内软组织肿块从幽门窦延伸至十二指肠近端。通过十二指肠切开术切除了两个直径均约为8厘米的球形肿块。组织病理学检查显示,第一个肿块为毛粪石,第二个肿块为布伦纳腺腺瘤。手术使临床症状完全缓解。

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