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成功手术矫正两只幼犬同时存在的肠系膜扭转并伴有异物梗阻

Successful Surgical Correction of a Mesenteric Volvulus with Concurrent Foreign Body Obstruction in Two Puppies.

作者信息

Jones Susan, Friedenberg Steven G, Callard Jason, Abernathy Leslie, Guillaumin Julien

机构信息

From the Ohio State University, Columbus, Ohio (S.J., S.G.F., J.C., J.G.); and Banfield Pet Hospital, Centerville, Ohio (L.A.).

出版信息

J Am Anim Hosp Assoc. 2017 Nov/Dec;53(6):297-303. doi: 10.5326/JAAHA-MS-6468. Epub 2017 Sep 11.

Abstract

A 9 mo old female intact English mastiff (case 1) presented for anorexia and vomiting for 7 days. A 7 mo old male castrated American bulldog (case 2) presented for vomiting and anorexia for 2 days without diarrhea. Both dogs were diagnosed with mesenteric volvulus based on exploratory laparotomy, which also revealed an intestinal foreign body obstruction. Case 1 required critical care support during recovery but was ultimately discharged, whereas case 2 had an uncomplicated recovery. Both were reported to be back to normal 1 wk after surgery. Case 1 survived 3 mo and then died due to a colonic torsion diagnosed by exploratory laparotomy. Case 2 has been reported to be completely normal more than 18 mo after surgery. These two cases illustrate that mesenteric volvulus can be present with a several-day history of gastrointestinal signs and that shock may be absent on presentation. This is also the first published report of mesenteric volvulus with a concurrent foreign body obstruction.

摘要

一只9月龄未绝育的雌性英国獒犬(病例1)因厌食和呕吐7天前来就诊。一只7月龄已绝育的雄性美国斗牛犬(病例2)因呕吐和厌食2天前来就诊,无腹泻症状。两只犬均经剖腹探查诊断为肠系膜扭转,同时还发现了肠道异物梗阻。病例1在恢复过程中需要重症监护支持,但最终出院,而病例2恢复过程顺利。据报告,两只犬术后1周均恢复正常。病例1存活了3个月,随后因剖腹探查诊断为结肠扭转而死亡。据报告,病例2术后18个月以上完全正常。这两个病例表明,肠系膜扭转可能伴有数天的胃肠道症状,且就诊时可能无休克表现。这也是首次发表的关于肠系膜扭转合并异物梗阻的报告。

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