Gremillet Bérengère C H, Porsmoguer Charles, Bolen Géraldine, Billen Frédéric, Noël Stéphanie, Brutinel Flore, Busoni Valeria
Département des Animaux de Compagnie, Clinique Vétérinaire Universitaire, Université de Liège, Liège, Belgium.
Front Vet Sci. 2022 Jun 9;9:891492. doi: 10.3389/fvets.2022.891492. eCollection 2022.
This retrospective case series describes imaging findings in seven dogs and two cats with a presumptive diagnosis of sclerosing encapsulating peritonitis (SEP) between 2014 and 2021. Peritoneal effusion was present in all animal patients. Sonographically, echogenic fluid with or without echogenic intraperitoneal septations, gathered or corrugated bowel loops, and abdominal lymphadenomegaly were suggesting an inflammatory process and the presence of adhesions. Gathering of the bowel with abdominal distension and/or signs of intestinal obstruction were major findings on radiographs. Abdominal fat stranding was an additional finding in animals undergoing a CT examination. Previous surgery, pregnancy, and the presence of a perforating foreign body were potential predisposing causes in 4/9 animals. Peritonitis was septic in 4/9 animals. As SEP is a rare condition but life threatening, this detailed description of imaging findings in a short case series can be useful for a presumptive diagnosis and surgical planning.
本回顾性病例系列描述了2014年至2021年间7只犬和2只猫的影像学表现，这些动物被初步诊断为硬化性包裹性腹膜炎（SEP）。所有动物患者均有腹腔积液。超声检查显示，有或无回声性腹腔间隔的回声性液体、聚集或呈波纹状的肠袢以及腹部淋巴结肿大提示存在炎症过程和粘连。腹部膨胀伴肠管聚集和/或肠梗阻迹象是X线片的主要表现。腹部脂肪条纹是接受CT检查动物的额外表现。既往手术、妊娠和穿孔性异物的存在是9只动物中4只的潜在易感因素。9只动物中有4只发生了化脓性腹膜炎。由于SEP是一种罕见但危及生命的疾病，这个简短病例系列中影像学表现的详细描述可能有助于初步诊断和手术规划。
