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幼犬因阻塞性异物行肠切开术后发生肝叶扭转。

Liver Lobe Torsion Following an Enterotomy for an Obstructive Foreign Body in a Puppy.

作者信息

Waskover Elizabeth C, Truong Jennifer, Phillips Lindsay

机构信息

Wheat Ridge Animal Hospital, Denver, Wheat Ridge, Colorado, USA.

出版信息

Vet Med Sci. 2025 May;11(3):e70292. doi: 10.1002/vms3.70292.

Abstract

A 6-month-old male intact Bernese Mountain Dog presented for lethargy and acute vomiting after known foreign body ingestion. The patient was diagnosed with an obstructive foreign body and underwent an exploratory laparotomy with an enterotomy. Twelve hours postoperative, he was diagnosed with a haemoabdomen. A second exploratory laparotomy was performed, and a left lateral and left medial liver lobe torsion was diagnosed. A left lateral liver lobectomy was performed. The left lateral liver lobe was submitted for histopathology and was consistent with acute torsion. This draws interest to the case as the patient is a juvenile dog and there was involvement of two liver lobes which is rare. The cause of liver lobe torsion is unknown in this case. Liver lobe torsion is rare and has never been reported in a young dog as an immediate postoperative complication.

摘要

一只6个月大的未绝育雄性伯恩山犬,在已知吞食异物后出现嗜睡和急性呕吐症状。该患者被诊断为梗阻性异物,并接受了剖腹探查术和肠切开术。术后12小时,诊断为腹腔积血。进行了第二次剖腹探查术,诊断为左外侧和左内侧肝叶扭转。实施了左外侧肝叶切除术。将左外侧肝叶送去做组织病理学检查,结果与急性扭转相符。该病例引起关注,因为患者是一只幼犬,且有两个肝叶受累,这种情况很罕见。该病例中肝叶扭转的原因不明。肝叶扭转很罕见,从未有过幼犬术后立即出现这种并发症的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e71d/11955011/afe2bce2a6a1/VMS3-11-e70292-g004.jpg

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