Jones Susan, Friedenberg Steven G, Callard Jason, Abernathy Leslie, Guillaumin Julien
From the Ohio State University, Columbus, Ohio (S.J., S.G.F., J.C., J.G.); and Banfield Pet Hospital, Centerville, Ohio (L.A.).
J Am Anim Hosp Assoc. 2017 Nov/Dec;53(6):297-303. doi: 10.5326/JAAHA-MS-6468. Epub 2017 Sep 11.
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.
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。