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犬猫先天性部分结肠发育不全:临床、生物学、诊断影像学、内镜及组织病理学特征,一项回顾性研究

Congenital Partial Colonic Agenesis in Dogs and Cats: Clinical, Biological, Diagnostic Imaging, Endoscopic and Histopathologic Characterization, a Retrospective Study.

作者信息

Remmel Paul, Gros Lucile, Mortier Jérémy, Freiche Valérie

机构信息

Unité de Médecine Interne, Centre Hospitalier Universitaire Vétérinaire d'Alfort (CHUVA), École Nationale Vétérinaire d'Alfort, 94700 Maisons-Alfort, France.

Service d'imagerie Médicale, Département d'Élevage et Pathologie des Équidés et Carnivores (DEPEC), Centre Hospitalier Universitaire Vétérinaire d'Alfort (CHUVA), École Nationale Vétérinaire d'Alfort, 94700 Maisons-Alfort, France.

出版信息

Vet Sci. 2023 Sep 18;10(9):577. doi: 10.3390/vetsci10090577.

DOI:10.3390/vetsci10090577
PMID:37756099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10536647/
Abstract

Congenital diseases of the large intestine of dogs and cats have scarcely been reported and mostly include fistula, atresia or colonic duplication. Cases of partial colonic agenesis have rarely been described. The purpose of this study was to report a cohort of dogs and cats diagnosed with partial colonic agenesis. The colon was measured during colonoscopy or contrast-radiography and compared to the average length described in the literature. Six dogs and 17 cats were retrospectively included. Depending on the case, partial colonic agenesis could represent an incidental finding or the likeliest cause of clinical signs. Diarrhea was reported in most cases, and no specific clinical or biological abnormality was observed. Median age of presentation was variable and long asymptomatic periods were common. Abdominal ultrasound was useful and identified a short colon in 14/17 cats but only in one dog. Endoscopy was useful to confirm the diagnosis and to identify associated lesions and complications. Among others, colonic stenosis was reported in 8/9 cases that had lifelong clinical signs and the shortest colon length. This anatomical abnormality could promote chronic inflammation that might generate fibrosis and ultimately stenosis.

摘要

犬猫大肠先天性疾病鲜有报道,主要包括瘘管、闭锁或结肠重复畸形。部分结肠发育不全的病例很少被描述。本研究的目的是报告一组被诊断为部分结肠发育不全的犬猫。在结肠镜检查或造影检查时测量结肠,并与文献中描述的平均长度进行比较。回顾性纳入了6只犬和17只猫。根据具体病例,部分结肠发育不全可能是偶然发现,也可能是临床症状最可能的原因。大多数病例报告有腹泻,未观察到特定的临床或生物学异常。发病的中位年龄各不相同,无症状期较长很常见。腹部超声有用,在17只猫中的14只发现结肠较短,但仅在1只犬中发现。内镜检查有助于确诊并识别相关病变和并发症。在其他方面,8/9例有终身临床症状且结肠长度最短的病例报告有结肠狭窄。这种解剖学异常可促进慢性炎症,可能导致纤维化并最终导致狭窄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/fde4235b52d1/vetsci-10-00577-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/3693d8769151/vetsci-10-00577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/3d6291a69398/vetsci-10-00577-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/48a1a7058873/vetsci-10-00577-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/2b0bd046591b/vetsci-10-00577-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/344592abee86/vetsci-10-00577-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/604eee9ea370/vetsci-10-00577-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/ef4807fda2f4/vetsci-10-00577-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/b5650dabbf27/vetsci-10-00577-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/fde4235b52d1/vetsci-10-00577-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/3693d8769151/vetsci-10-00577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/3d6291a69398/vetsci-10-00577-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/48a1a7058873/vetsci-10-00577-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/2b0bd046591b/vetsci-10-00577-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/344592abee86/vetsci-10-00577-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/604eee9ea370/vetsci-10-00577-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/ef4807fda2f4/vetsci-10-00577-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/b5650dabbf27/vetsci-10-00577-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03c2/10536647/fde4235b52d1/vetsci-10-00577-g009.jpg

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J Clin Med. 2023 Apr 22;12(9):3052. doi: 10.3390/jcm12093052.
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From Chihuahua to Saint-Bernard: how did digestion and microbiota evolve with dog sizes.从吉娃娃到圣伯纳犬:狗的体型如何影响消化和微生物群的演变。
Int J Biol Sci. 2022 Aug 1;18(13):5086-5102. doi: 10.7150/ijbs.72770. eCollection 2022.
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The Molecular Mechanisms of Intestinal Inflammation and Fibrosis in Crohn's Disease.克罗恩病中肠道炎症和纤维化的分子机制
Front Physiol. 2022 Feb 11;13:845078. doi: 10.3389/fphys.2022.845078. eCollection 2022.
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Successful Surgical Correction of Congenital Colonic Duplication and Anogenital Cleft in a Cat.猫先天性结肠重复畸形和肛门生殖裂的成功手术矫正
J Am Anim Hosp Assoc. 2020 May/Jun;56(3):170-174. doi: 10.5326/JAAHA-MS-6885. Epub 2020 Mar 17.
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Congenital Short-Bowel Syndrome in an Adult Dog.成年犬先天性短肠综合征
Vet Pathol. 2018 May;55(3):462-465. doi: 10.1177/0300985817750455. Epub 2018 Jan 8.
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Congenital Pouch Colon.先天性袋状结肠
J Indian Assoc Pediatr Surg. 2017 Apr-Jun;22(2):69-78. doi: 10.4103/jiaps.JIAPS_5_17.
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Congenital duodenocolic fistula in a dog.犬先天性十二指肠结肠瘘
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