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一例因淋巴瘤导致的犬结肠-结肠肠套叠病例,采用结肠切除和吻合术进行治疗。

A case of colonic-colonic intussusception in a dog secondary to lymphoma treated with colonic resection and anastomosis.

机构信息

Gulf Coast Veterinary Specialists, 8042 Katy Freeway, Houston, Texas, 77024 USA (Thomsen); Angell Animal Medical Center, 350 S Huntington Avenue, Boston, Massachusetts, 02130 USA (Ulfelder).

出版信息

Can Vet J. 2022 Sep;63(9):957-961.

Abstract

A 2-year-old castrated male Great Dane crossbreed dog was presented with a history of diarrhea and suspected intussusception. Abdominal ultrasound revealed a colonic-colonic intussusception. The gastrointestinal tract was explored, and an approximately 5-cm intussusception was discovered mid-colon. All other gastrointestinal structures were normal in appearance. The intussusception could not be reduced manually. A colonic resection and anastomosis were performed together with a left-sided incisional colopexy. The dog recovered from surgery and histopathology revealed the intussusception to be secondary to large cell transmural lymphoma. Sections from the surgical margins revealed proliferation of fibrovascular tissue along the serosal surface segmentally, but no neoplastic cells were identified. The dog was subsequently treated with chemotherapy consisting of doxorubicin and prednisone. No evidence of disease recurrence was noted on ultrasound 9 months after surgery. Approximately 2 years after surgery, the dog is noted to be clinically normal at home with no abnormal findings on physical examination. A complete blood (cell) count and chemistry obtained at this time revealed no significant abnormalities besides mild azotemia. Additional restaging was declined by the owner.

摘要

一只 2 岁已去势的雄性大丹犬混血杂种犬,出现腹泻和疑似肠套叠的病史。腹部超声检查显示结肠-结肠肠套叠。探查胃肠道,发现中结肠有约 5cm 的肠套叠。所有其他胃肠道结构外观正常。肠套叠无法手动复位。进行结肠切除术和吻合术,并进行左侧切开结肠固定术。该犬术后恢复良好,组织病理学检查显示肠套叠继发于大细胞黏膜下淋巴瘤。手术切缘的切片显示沿浆膜表面节段性地有纤维血管组织增生,但未发现肿瘤细胞。该犬随后接受多柔比星和泼尼松组成的化疗。术后 9 个月超声检查未见疾病复发迹象。术后约 2 年,该犬在家中临床正常,体检无异常发现。此时进行的全血细胞(细胞)计数和化学检查除轻度氮血症外无明显异常。主人拒绝进一步分期检查。

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Intestinal lymphoma in dogs: 84 cases (1997-2012).犬肠道淋巴瘤:84例(1997 - 2012年)
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Canine lymphoma: a review.犬淋巴瘤综述
Vet Q. 2016 Jun;36(2):76-104. doi: 10.1080/01652176.2016.1152633. Epub 2016 Mar 8.

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