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犬先天性门体分流部分结扎术后的结肠积气症

Pneumatosis coli after partial ligation of congenital portosystemic shunt in a dog.

作者信息

Azuma Kazushi, Kanemoto Hideyuki, Ohno Koichi, Fukushima Kenjiro, Chambers James K, Tsujimoto Hajime

机构信息

Synergy Animal General Hospital, 815, Ishigami, Kawaguchi-shi, Saitama 333-0823, Japan.

Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.

出版信息

J Vet Med Sci. 2018 Nov 1;80(10):1549-1552. doi: 10.1292/jvms.18-0229. Epub 2018 Aug 17.

DOI:10.1292/jvms.18-0229
PMID:30122693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6207523/
Abstract

Pneumatosis coli is a rare intestinal disorder in dogs that is characterized by submucosal or subserosal emphysema of the colon. An 8-year-old castrated male Shih Tzu developed anorexia and hematochezia after undergoing surgery for a congenital splenophrenic shunt. Abdominal radiographic examination revealed linear radiolucency throughout the wall of the large intestine. Results of abdominal computed tomography revealed intramural gas tracking along the colon and rectum. Based on these findings, a diagnosis of pneumatosis coli was made. The dog was treated with antibiotics, but the general condition gradually deteriorated, and the dog died 6 days after the day of diagnosis. It was suspected that portal hypertension following partial ligation of congenital portosystemic shunt may have been associated with pneumatosis coli in this case.

摘要

结肠积气症是一种犬类罕见的肠道疾病,其特征为结肠黏膜下或浆膜下气肿。一只8岁去势雄性西施犬在接受先天性脾膈分流术手术后出现厌食和便血。腹部X线检查显示整个大肠壁有线性透亮区。腹部计算机断层扫描结果显示沿结肠和直肠有壁内气体影。基于这些发现,诊断为结肠积气症。该犬接受了抗生素治疗,但总体状况逐渐恶化,在诊断当天6天后死亡。怀疑在这种情况下,先天性门体分流部分结扎后的门静脉高压可能与结肠积气症有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/f29cc12a945d/jvms-80-1549-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/208148214752/jvms-80-1549-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/22616dc68233/jvms-80-1549-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/b36270a56b59/jvms-80-1549-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/6494741c9bef/jvms-80-1549-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/f29cc12a945d/jvms-80-1549-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/208148214752/jvms-80-1549-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/22616dc68233/jvms-80-1549-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/b36270a56b59/jvms-80-1549-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/6494741c9bef/jvms-80-1549-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abf5/6207523/f29cc12a945d/jvms-80-1549-g005.jpg

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An approach to pneumatosis intestinalis: Factors affecting your management.小肠积气的处理方法:影响治疗的因素
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Pneumatosis coli in a dog.犬结肠积气症
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What is your diagnosis? Pneumatosis coli.你的诊断是什么?结肠积气。
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