Lecoindre A, Saade D, Barthez P, Cadoré J L, Lecoindre P
ECVIM-CA Internal Medicine.
Service de Médecine interne, VetAgro Sup Campus Vétérinaire de Lyon, 69280, Lyon, France.
J Small Anim Pract. 2018 May;59(5):311-314. doi: 10.1111/jsap.12677. Epub 2017 Apr 3.
A one-year-old female cocker spaniel presented with a 6-month history of persistent diarrhoea. Abdominal ultrasonographic examination revealed mild diffuse thickening of the intestinal wall coupled with mesenteric lymphadenopathy. A connection between the duodenum and the colon was observed during an endoscopic procedure and confirmed by computed tomography. Surgical resection of the communication allowed remission of the diarrhoea. Histology showed a normal duodenal epithelium and muscular layer. A duodenocolic fistula is an abnormal connection within the digestive tract, which in humans is usually considered a complication of a local pathological condition. Due to the absence of a predisposing cause and, in view of the dog's age and histological results, a congenital origin was suspected.
一只一岁的雌性可卡犬出现了持续腹泻6个月的病史。腹部超声检查显示肠壁轻度弥漫性增厚，伴有肠系膜淋巴结病。在内镜检查过程中观察到十二指肠与结肠之间的连接，并经计算机断层扫描证实。手术切除该连通处后腹泻缓解。组织学检查显示十二指肠上皮和肌层正常。十二指肠结肠瘘是消化道内的一种异常连接，在人类中通常被认为是局部病理状况的并发症。由于没有诱发原因，并且考虑到这只狗的年龄和组织学结果，怀疑是先天性起源。
