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一只茶色雕(Aquila rapax)发生回盲直肠套叠,需要进行肠切除和吻合术。

Ileo-ceco-rectal Intussusception Requiring Intestinal Resection and Anastomosis in a Tawny Eagle (Aquila rapax).

作者信息

Sabater Mikel, Huynh Minh, Forbes Neil

出版信息

J Avian Med Surg. 2015 Mar;29(1):63-8. doi: 10.1647/2013-011.

DOI:10.1647/2013-011
PMID:25867669
Abstract

A 23-year-old male tawny eagle (Aquila rapax) was examined because of sudden onset of lethargy, regurgitation, and hematochezia. An intestinal obstruction was suspected based on radiographic findings, and an ileo-ceco-rectal intussusception was confirmed by coelioscopy. A 14.3-cm section of intestine was resected before an intestinal anastomosis was done. Coelomic endoscopic examination confirmed a postsurgical complication of adhesions between the intestinal anastomosis and the dorsal coelomic wall, resulting in a partial luminal stricture and requiring surgical removal of the adhesions. Rectoscopy was useful in diagnosing a mild luminal stricture related to the second surgery. Complete recovery was observed 2 months after surgery. Lack of further complications in the 2 years after surgery demonstrates good tolerance of intestinal resection and anastomosis of a large segment of bowel in an eagle. This report is the first reported case of intussusception in an eagle and emphasizes the potential use of endoscopic examination in the diagnosis as well as in the management of complications.

摘要

一只23岁的雄性茶色雕(非洲隼雕)因突然出现嗜睡、反流和便血而接受检查。根据放射学检查结果怀疑有肠梗阻,通过腹腔镜检查确诊为回盲直肠套叠。在进行肠吻合术之前,切除了一段14.3厘米的肠段。腹腔内镜检查证实了肠吻合口与背侧腹腔壁之间粘连的术后并发症,导致部分管腔狭窄,需要手术切除粘连。直肠镜检查有助于诊断与第二次手术相关的轻度管腔狭窄。术后2个月观察到完全康复。术后2年未出现进一步并发症,表明雕对肠切除和一大段肠吻合具有良好的耐受性。本报告是首例关于雕发生套叠的报道病例,并强调了内镜检查在诊断以及并发症处理中的潜在用途。

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