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一只家养短毛猫双侧腰椎疝。

Bilateral lumbar hernias in a domestic shorthair cat.

作者信息

Olin Shelly J, Holmes Shannon P, Jeffs Ashley, Cornell Karen K

机构信息

Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30605, USA.

出版信息

J Am Vet Med Assoc. 2012 Dec 1;241(11):1495-8. doi: 10.2460/javma.241.11.1495.

DOI:10.2460/javma.241.11.1495
PMID:23176243
Abstract

CASE DESCRIPTION

A 2.8-kg (6.1-lb) 4-month-old sexually intact female domestic shorthair cat was referred for evaluation of bilateral, subcutaneous lumbar masses that were presumed to be the kidneys.

CLINICAL FINDINGS

Physical examination findings included 2 mobile, nonpainful, 3×3-cm, bilaterally symmetric masses in the dorsolateral lumbar region. Abdominal radiography, ultrasonography, and CT confirmed bilateral body wall defects with renal herniation. Serum biochemistry profile, urinalysis, and excretory urography confirmed normal renal function.

TREATMENT AND OUTCOME

Exploratory laparotomy, reduction of the kidneys, repair of the body wall defects, bilateral nephropexy, and ovariohysterectomy were performed. There were no perioperative complications.

CLINICAL RELEVANCE

Lumbar hernia has not been reported previously in a cat. It is important for veterinarians to be aware that although rare, lumbar hernia should be included in the list of differential diagnoses for a lumbar mass or signs of chronic lumbar pain in cats.

摘要

病例描述

一只体重2.8千克(6.1磅)的4月龄未绝育雌性家猫因双侧皮下腰部肿物被转诊,这些肿物被推测为肾脏。

临床发现

体格检查发现双侧腰背部外侧有2个可移动、无压痛、3×3厘米大小的对称肿物。腹部X线摄影、超声检查和CT证实双侧体壁缺损伴肾脏疝出。血清生化指标、尿液分析和排泄性尿路造影证实肾功能正常。

治疗及结果

进行了剖腹探查、肾脏复位、体壁缺损修复、双侧肾固定术和卵巢子宫切除术。围手术期无并发症。

临床意义

此前未报道过猫发生腰椎疝。兽医应意识到,尽管腰椎疝在猫中罕见,但在猫腰部肿物或慢性腰痛体征的鉴别诊断清单中应包含该疾病。

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