VCA Emergency Animal Hospital and Referral Center, 2317 Hotel Circle South, San Diego, California 92108, USA.
Can Vet J. 2024 Feb;65(2):173-176.
To describe a case of small intestinal obstruction secondary to kinetic sand ingestion in a dog.
An 11-year-old neutered male shih tzu dog with a 2-day history of anorexia.
Abdominal radiographs revealed a small intestinal bowel loop dilated with radiopaque material, consistent with sand ingestion. The dog's only sand exposure was to kinetic sand. After 8 h of medical management, radiographs were consistent with a small intestinal obstruction.
The dog underwent exploratory laparotomy, which revealed distal jejunal and ileal distention with palpable soft foreign material that could not be milked into the colon. The sand was removed through a single enterotomy. The dog was discharged 4 d after surgery.
The hydrophobic properties of kinetic sand may make it more likely than regular sand to cause intestinal obstruction that requires surgery. With the increasing popularity and availability of kinetic sand for domestic use, clinicians should have a high index of suspicion for kinetic sand impaction and secondary intestinal obstruction.
描述一例因犬 kinetic sand 吞食导致的小肠梗阻病例。
一只 11 岁已绝育雄性西施犬，有 2 天厌食史。
腹部 X 光片显示小肠肠袢扩张，有不透射线的物质，与沙子吞食一致。这只狗唯一接触沙子的地方是 kinetic sand。经过 8 小时的医疗管理，X 光片显示存在小肠梗阻。
该犬接受了剖腹探查术，发现远端空肠和回肠扩张，可触及柔软的异物，无法挤入结肠。沙子通过单个肠切开术取出。该犬在手术后 4 天出院。
kinetic sand 的疏水性可能使其比普通沙子更容易导致需要手术治疗的肠梗阻。随着 kinetic sand 在家庭中越来越普及和易得，临床医生应高度怀疑 kinetic sand 嵌塞和继发性肠梗阻。
