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一只幼犬术后并发腹腔内粘连和小肠粪便物质导致的小肠梗阻

Small Bowel Obstruction Induced by Concurrent Postoperative Intra-Abdominal Adhesions and Small Bowel Fecal Materials in a Young Dog.

作者信息

Hyun Jae-Eun, Han Hyun-Jung

机构信息

Department of Veterinary Internal Medicine, Konkuk Veterinary Medical Teaching Hospital, Konkuk University, Seoul 05029, Korea.

Department of Veterinary Emergency Medicine, Konkuk Veterinary Medical Teaching Hospital, Konkuk University, Seoul 05029, Korea.

出版信息

Vet Sci. 2021 May 12;8(5):83. doi: 10.3390/vetsci8050083.

Abstract

A 7-month-old neutered male poodle dog presented with general deterioration and gastrointestinal symptoms after two separate operations: a jejunotomy for small-intestinal foreign body removal and an exploratory laparotomy for diagnosis and treatment of the gastrointestinal symptoms that occurred 1 month after the first surgery. The dog was diagnosed as having small-bowel obstruction (SBO) due to intra-abdominal adhesions and small-bowel fecal material (SBFM) by using abdominal radiography, ultrasonography, computed tomography, and laparotomy. We removed the obstructive adhesive lesion and SBFM through enterotomies and applied an autologous peritoneal graft to the released jejunum to prevent re-adhesion. After the surgical intervention, the dog recovered quickly and was healthy at 1 year after the surgery without gastrointestinal signs. To our knowledge, this study is the first report of a successful treatment of SBO induced by postoperative intra-abdominal adhesions and SBFM after laparotomies in a dog.

摘要

一只7个月大已绝育的雄性贵宾犬在两次单独手术后出现全身状况恶化和胃肠道症状:第一次手术是为取出小肠异物进行空肠切开术,第二次手术是在第一次手术后1个月,为诊断和治疗出现的胃肠道症状进行剖腹探查术。通过腹部X线摄影、超声检查、计算机断层扫描和剖腹探查术,该犬被诊断为因腹腔粘连和小肠粪便物质(SBFM)导致的小肠梗阻(SBO)。我们通过肠切开术切除了梗阻性粘连病变和SBFM,并将自体腹膜移植到游离的空肠上以防止再次粘连。手术干预后,这只狗恢复迅速,术后1年健康,无胃肠道症状。据我们所知,本研究是首例关于成功治疗犬剖腹术后腹腔内粘连和SBFM引起的SBO的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/068f/8151118/0586795a3fe7/vetsci-08-00083-g001.jpg

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