Quirk Zoe, Hemmelgarn Carey, Goodman Andrew R
Mobius Veterinary Services, NY, USA.
Eclipse Specialty and Emergency Pet Care, Whippany, NJ, USA.
JFMS Open Rep. 2023 Aug 29;9(2):20551169231191408. doi: 10.1177/20551169231191408. eCollection 2023 Jul-Dec.
A 6-week-old intact male domestic shorthair kitten presented for abdominal distension, small stature, vomiting and inappetence. Abdominal radiographs showed marked generalized gaseous gastrointestinal dilation. Exploratory laparotomy revealed type III colonic atresia which was surgically corrected via jejunocolic anastomosis. The kitten survived the immediate postoperative period and was discharged from the hospital but subsequently declined and was euthanized 7 days after surgery.
The patient described in this report is a rare case of colonic atresia diagnosed in the postneonatal period. To our knowledge, this is the first ante-mortem case diagnosed with type III colonic atresia and description of surgical management reported in companion animal medicine. The patient had short-term survival after surgery that, with adjustments to the postoperative care, may result in long-term survival for future patients.
一只6周大未绝育的雄性家养短毛小猫因腹胀、体型小、呕吐和食欲不振前来就诊。腹部X光片显示胃肠道广泛性明显气体扩张。剖腹探查发现III型结肠闭锁,通过空肠结肠吻合术进行了手术矫正。这只小猫在术后初期存活并出院,但随后病情恶化,术后7天实施了安乐死。
本报告中描述的患者是新生儿期后诊断出的结肠闭锁罕见病例。据我们所知,这是第一例生前诊断为III型结肠闭锁并在伴侣动物医学中报道手术治疗方法的病例。该患者术后有短期存活,通过调整术后护理,未来患者可能实现长期存活。