Collins-Webb Alexandra G, Hanna Ashley L, Mehrkens Lea R, VanderHart Daniel J
Department of Veterinary Clinical Sciences, Oregon State University, Corvallis, OR, USA.
Department of Veterinary Clinical Sciences, Washington State University, Pullman, WA, USA.
JFMS Open Rep. 2020 Aug 19;6(2):2055116920946575. doi: 10.1177/2055116920946575. eCollection 2020 Jul-Dec.
A stray female domestic shorthair cat was presented to the emergency service after being hit by a car. The patient was recumbent and vocalizing, with a small wound over the right lateral thorax, and two palpably firm swellings in the right cervical and thoracic soft tissues. The patient was sedated and humanely euthanized to prevent further pain and suffering. Post-mortem whole-body radiographs and subsequent necropsy revealed abdominal wall rupture with herniation of two near-term fetuses within the subcutaneous tissues along the right ventrolateral thoracic wall and neck. Within the abdomen, the right uterine horn was ruptured and a third extra-luminal fetus was identified. The left uterine horn remained intact, containing a fourth fetus.
Rupture of the abdominal wall or diaphragm are well-known potential complications of blunt force trauma, such as motor vehicle accidents. While traumatic uterine rupture and diaphragmatic herniation of the gravid uterus have both been reported in the veterinary literature, abdominal wall rupture with subcutaneous fetal herniation is highly uncommon.
一只流浪的雌性家猫在被车撞后被送至急诊室。病猫侧卧且发出叫声，右侧胸壁有一个小伤口，右侧颈部和胸部软组织有两处可触及的硬结。为防止病猫进一步疼痛和受苦，对其实施了镇静并进行了安乐死。死后全身X光片及随后的尸检显示腹壁破裂，两个足月胎儿沿右侧胸壁腹外侧和颈部的皮下组织疝出。在腹腔内，右侧子宫角破裂，发现第三个胎儿位于子宫外。左侧子宫角保持完整，内有第四个胎儿。
腹壁或膈肌破裂是钝性外力创伤（如机动车事故）的常见潜在并发症。虽然兽医文献中已报道过创伤性子宫破裂和妊娠子宫的膈疝，但腹壁破裂伴皮下胎儿疝出极为罕见。
