Köhler H, Oberlojer H G
Tierarztl Prax. 1986;14(2):245-51.
In the ampulla roof of the wave-like extending horse rectum the muscular coat is only weakly developed as a deltoid-shaped tunica muscularis area, thus forming a place of minor resistance. With regard to the degree of development of the muscular coat a rectal ampulla with a stable form and strong muscles can be distinguished from an ampulla with a labile form and weak muscles. The rupture of the intestinal wall in this region in the case of rupture-experiments as well as the frequent occurrence of diverticula reveals this area as being a place of minor resistance which requires extreme caution during rectal examination. The forensic judgement of a rectal perforation has to be based on detailed pathoanatomical investigations. If the rules of veterinary art had been neglected, the proof of blamelessness for the investigator is being out of consideration. If all rules of veterinary art, however, had fully been observed during rectal exploration, the proof of blamelessness for the investigator is very difficult to be obtained, when a perforation or a rupture has resulted. Only if the rupture is located in the dorsal part of the rectum, there exists the possibility, that it is a spontaneous one, if anatomical conditions, thickness of the muscular coat or the presence of diverticula do support this.
在呈波浪状延伸的马直肠壶腹顶部,肌层仅作为一个三角形的肌层区域发育较弱,因此形成了一个阻力较小的部位。就肌层的发育程度而言,可将具有稳定形态和强壮肌肉的直肠壶腹与形态不稳定且肌肉薄弱的壶腹区分开来。在破裂实验中该区域肠壁的破裂以及憩室的频繁出现表明,该区域是一个阻力较小的部位,在直肠检查时需要格外小心。直肠穿孔的法医学判断必须基于详细的病理解剖学调查。如果忽视了兽医技术规则,就无法考虑为调查人员提供无过错证明。然而,如果在直肠探查过程中充分遵守了所有兽医技术规则,那么当出现穿孔或破裂时,很难为调查人员提供无过错证明。只有当破裂位于直肠的背侧部分时,如果解剖条件、肌层厚度或憩室的存在支持这一点,才有可能是自发性破裂。