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宠物兔卵巢扭转():一例报告。

Ovarian Torsion in a Pet Rabbit (): A Case Report.

作者信息

Noviello Emilio, Russo Marco, Rubino Paola, De Felice Daniela, Spada Stefano

机构信息

Centro di Recupero Animali Selvatici (CRAS), University of Naples, Federico II, 80145 Naples, Italy.

Department of Veterinary Medicine and Animal Production, University of Naples, Federico II, 80137 Naples, Italy.

出版信息

Animals (Basel). 2024 Aug 26;14(17):2475. doi: 10.3390/ani14172475.

Abstract

Ovarian torsion (OT) is a condition that can affect both humans and animals, although it is less common in the latter, with very few cases documented in the literature. To our knowledge, no previous reports have documented the occurrence of this condition in rabbits. In this study, we present the first documented case of spontaneous OT in a 2-year-old female intact rabbit. The patient was brought to the clinic for a routine check-up, during which a firm, large abdominal mass was palpated. Subsequent ultrasound examination of the abdomen revealed the presence of a large, hypoechoic, non-vascularized mass occupying the majority of the caudal abdomen. A computed tomography (CT) scan further confirmed the presence of a heterogeneous mass exhibiting the Whirlpool sign, which is characteristic of organ torsion. Upon laparotomy, an enlargement of the right ovary was observed, characterized by twisting of the ovarian pedicle, consistent with the mass detected via ultrasound and CT scan. Ovariohysterovaginectomy was performed, and the mass was subsequently analyzed. Microscopic analysis of the mass revealed predominantly necrotic tissue, with only a few ovarian epithelial cells present. The underlying cause of the OT described in this study remains unclear. However, it is plausible that a previous neoplastic condition or ovarian necrosis led to an increase in the size and weight of the mass, ultimately resulting in the twisting of the supporting structures.

摘要

卵巢扭转(OT)是一种可影响人类和动物的病症,尽管在动物中较为少见,文献记载的病例极少。据我们所知,此前尚无关于家兔发生这种病症的报道。在本研究中,我们呈现了首例有记录的2岁未绝育雌性家兔自发性卵巢扭转病例。该患兔被带到诊所进行常规检查,在此期间触诊发现一个坚实的腹部大肿块。随后对腹部进行超声检查,发现一个大的、低回声、无血管的肿块占据了大部分后腹部。计算机断层扫描(CT)进一步证实存在一个表现出漩涡征的异质性肿块,这是器官扭转的特征。剖腹探查时,观察到右侧卵巢增大,其特征为卵巢蒂扭转,与超声和CT扫描检测到的肿块一致。实施了卵巢子宫阴道切除术,随后对肿块进行分析。肿块的显微镜检查显示主要为坏死组织,仅存在少数卵巢上皮细胞。本研究中所描述的卵巢扭转的潜在原因仍不清楚。然而,先前的肿瘤性疾病或卵巢坏死导致肿块大小和重量增加,最终导致支撑结构扭转,这似乎是合理的。

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