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牛肠道疾病及其后遗症在超声检查和其他诊断工具方面的鉴别诊断。

Differential diagnosis of bovine intestinal diseases and their sequelae regarding ultrasonography and other diagnostic tools.

作者信息

Khalphallah Arafat, Elsayed Hanan K, Elmeligy Enas, Bayomi Sara A, Hamed Mohamed A, Salman Doaa, Abu-Seida Ashraf M, Mousa Sabry A

机构信息

Division of Internal Medicine, Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut 71526, Egypt.

Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Assiut University, Assiut 71526, Egypt.

出版信息

Vet World. 2021 Jun;14(6):1537-1547. doi: 10.14202/vetworld.2021.1537-1547. Epub 2021 Jun 16.

Abstract

BACKGROUND AND AIM

Intestinal disorders represented a large proportion of abdominal emergencies in bovine practice, and their definite diagnosis was a big challenge. The study described different intestinal disorders in cattle either in the small intestine (SI) or large intestine with their sequelae and peritonitis between SI loops.

MATERIALS AND METHODS

This study involved healthy (n=20) and diseased (n=40) cattle with intestinal disorders. All animals were undergoing clinical examination, laboratory analyses, and ultrasonographic examination.

RESULTS

Diseased cattle had monocytic leukocytosis as well as hypoproteinemia and hypoalbuminemia. The SI ileus of either proximal (n=12) or distal (n=15), intussusception (n=3), cecal, and/or colonal dilatation (n=10) were diagnosed by ultrasound and other diagnostic tools. Duodenum intussusception was imaged in cross-section as bull's eyes lesions. Animals with SI obstructions showed complete cessation (ileus with complete obstruction) or partial reduction of the peristaltic SI movement (ileus with partial obstruction), dilated duodenum (6.5-9.9 cm), and dilated jejunum and/or ileum (4.4-6.8 cm). Ultrasonography diagnosed SI ileus, due to either intestinal obstruction or peritonitis, and detected the ileus site, either proximal or distal. Cecal/colonal dilatation was detected using ultrasonography in which SI was not imaged and the peristaltic movements were completely reduced. The recorded intestinal disorders were associated with other disorders (e.g., liver cirrhosis or peritonitis).

CONCLUSION

Ultrasonography played an important role in the differential diagnosis of intestinal disorders in cattle. Peritonitis between SI loops and cecal and/or colonal dilatation was also diagnosed.

摘要

背景与目的

肠道疾病在牛的临床实践中占腹部急症的很大比例,其明确诊断是一项巨大挑战。本研究描述了牛小肠或大肠中的不同肠道疾病及其后遗症,以及小肠袢之间的腹膜炎。

材料与方法

本研究涉及患有肠道疾病的健康牛(n = 20)和患病牛(n = 40)。所有动物均接受临床检查、实验室分析和超声检查。

结果

患病牛出现单核细胞增多症以及低蛋白血症和低白蛋白血症。通过超声和其他诊断工具诊断出近端(n = 12)或远端(n = 15)的小肠肠梗阻、肠套叠(n = 3)、盲肠和/或结肠扩张(n = 10)。十二指肠肠套叠在横截面成像为靶环样病变。患有小肠梗阻的动物表现出蠕动完全停止(完全梗阻性肠梗阻)或小肠蠕动部分减弱(部分梗阻性肠梗阻)、十二指肠扩张(6.5 - 9.9厘米)以及空肠和/或回肠扩张(4.4 - 6.8厘米)。超声检查诊断出因肠梗阻或腹膜炎导致的小肠肠梗阻,并检测到梗阻部位,近端或远端。使用超声检查检测到盲肠/结肠扩张,此时未成像小肠且蠕动完全减弱。记录的肠道疾病与其他疾病(如肝硬化或腹膜炎)相关。

结论

超声检查在牛肠道疾病的鉴别诊断中发挥了重要作用。还诊断出小肠袢之间的腹膜炎以及盲肠和/或结肠扩张。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522d/8304424/9ad6eae4f03e/Vetworld-14-1537-g001.jpg

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