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13只犬的结肠或回盲结肠扭转(2005 - 2016年)

Colonic or ileocecocolic volvulus in 13 dogs (2005-2016).

作者信息

Plavec Tanja, Rupp Stefan, Kessler Martin

机构信息

Small Animal Clinic, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia.

Small Animal Hospital Hofheim, Hofheim, Germany.

出版信息

Vet Surg. 2017 Aug;46(6):851-859. doi: 10.1111/vsu.12674. Epub 2017 May 20.

Abstract

OBJECTIVE

To describe the clinical and clinicopathological features of colonic or ileocecocolic volvulus (CV/ICV) in dogs.

STUDY DESIGN

Retrospective case series.

ANIMALS

Thirteen dogs with surgically confirmed CV/ICV.

METHODS

Medical records were reviewed for signalment, medical history, clinical signs, laboratory data, radiographic findings, treatment, and outcome.

RESULTS

All cases consisted of large-breed dogs (median weight 37.1 kg, range, 22.7-58.5 kg), 8 of these male (6 intact). The most common clinical signs included vomiting, depression, inappetence, and diarrhea with or without tenesmus. All cases presented in shock with abdominal distension, abdominal pain, or both. Dogs were treated for shock and operated immediately after a presumptive diagnosis was based on clinical and radiographic examinations. Three dogs were euthanatized during surgery, 10 dogs were discharged live from the hospital, 9 of these were alive at follow-up 6 to 70 months (median 24 months) after surgery.

CONCLUSION

CV and ICV are rare disorders that seem to carry a better prognosis than mesenteric volvulus. Immediate laparotomy is recommended in suspected cases and the prognosis is fair.

摘要

目的

描述犬结肠或回盲结肠扭转(CV/ICV)的临床及临床病理特征。

研究设计

回顾性病例系列研究。

动物

13只经手术确诊为CV/ICV的犬。

方法

回顾病历,记录动物特征、病史、临床症状、实验室数据、影像学检查结果、治疗方法及预后情况。

结果

所有病例均为大型犬(中位体重37.1千克,范围22.7 - 58.5千克),其中8只为雄性(6只未绝育)。最常见的临床症状包括呕吐、抑郁、食欲不振,以及伴有或不伴有里急后重的腹泻。所有病例均出现休克,伴有腹胀、腹痛或两者皆有。基于临床和影像学检查做出初步诊断后,对犬进行抗休克治疗并立即手术。3只犬在手术中实施安乐死,10只犬出院存活,其中9只在术后6至70个月(中位时间24个月)的随访中仍存活。

结论

CV和ICV是罕见疾病,其预后似乎比肠系膜扭转更好。对于疑似病例,建议立即进行剖腹手术,预后情况尚可。

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