Centre Hospitalier Vétérinaire Pommery, 226 bd Pommery, 51100 REIMS, France.
Can Vet J. 2022 Apr;63(4):407-410.
A 2-year-old intact male Cane Corso dog was presented for acute weakness, vomiting, and diarrhea. Abdominal ultrasound revealed the stomach had severe wall edema and a target appearance. Computed tomography was consistent with a gastro-gastric intussusception and concurrent mineral-like gastric foreign bodies. After reduction of the intussusception, bilateral incisional gastropexy was performed to prevent recurrence. True gastrogastric intussusception is a rare condition and should be considered if the stomach has severe wall edema with a target sign on abdominal ultrasound. Computed tomography was useful to confirm this rare diagnosis and screen the entire abdomen for concurrent lesions. Key clinical message: This case highlights the usefulness of a CT examination to confirm this rare diagnosis, to determine the position of gastric compartments, and to detect potential concurrent lesions prior to surgery.
一只 2 岁的雄性完整坎高犬因急性虚弱、呕吐和腹泻就诊。腹部超声显示胃壁严重水肿，呈靶征外观。计算机断层扫描符合胃-胃肠套叠和并发类矿物质胃内异物的表现。肠套叠复位后，行双侧切开胃固定术以预防复发。真正的胃-胃肠套叠是一种罕见的情况，如果腹部超声显示胃壁严重水肿并出现靶征，应考虑该病。计算机断层扫描有助于确诊这种罕见疾病，并对整个腹部进行检查以发现潜在的并发病变。关键临床信息：本病例强调了 CT 检查在确诊这种罕见疾病、确定胃腔位置以及在手术前发现潜在并发病变方面的作用。
