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通过计算机断层扫描诊断的犬钝性暴力创伤后急性肠系膜缺血:一例报告

Acute mesenteric ischemia diagnosed via computed tomography in a dog following vehicular blunt force trauma: a Case Report.

作者信息

Altwal Johnny, Guieu Liz, Cook Margaret, Warhoe Jessie, Ray Christopher, Hall Kelly

机构信息

Department of Clinical Sciences, Veterinary Teaching Hospital, Colorado State University, Fort Collins, CO, United States.

出版信息

Front Vet Sci. 2025 Apr 17;12:1562043. doi: 10.3389/fvets.2025.1562043. eCollection 2025.

Abstract

Acute mesenteric ischemia (AMI) refers to a group of vascular disorders that disrupt intestinal blood flow, resulting in intestinal ischemia and necrosis if left untreated. In both humans and dogs, this condition appears to be rare but deadly. There has only been one documented case of traumatic acute mesenteric ischemia in a dog, and the diagnosis was conducted through laparotomy. We present the case of a dog that was struck by a vehicle and subsequently developed traumatic acute mesenteric ischemia, which was diagnosed through computed tomography (CT). The dog presented with profuse hemorrhagic diarrhea, which persisted throughout the hospitalization. The dog's condition eventually deteriorated as a result of diffuse intestinal ischemia, diagnosed using computed tomography (CT). Due to the anticipated poor prognosis, the dog was euthanized humanely. Traumatic acute mesenteric ischemia in dogs may be an underdiagnosed consequence of vehicular trauma, necessitating further diagnostic investigation in dogs with persistent gastrointestinal signs that are unresponsive to medical therapy.

摘要

急性肠系膜缺血(AMI)是指一组破坏肠道血流的血管疾病,如果不治疗会导致肠道缺血和坏死。在人类和犬类中,这种疾病似乎都很罕见但致命。犬类中仅有一例有记录的创伤性急性肠系膜缺血病例,诊断是通过剖腹手术进行的。我们报告一例被车辆撞击后发生创伤性急性肠系膜缺血的犬病例,该病例是通过计算机断层扫描(CT)诊断的。这只犬出现大量出血性腹泻,在住院期间一直持续。由于弥漫性肠道缺血,这只犬的病情最终恶化,通过计算机断层扫描(CT)诊断。由于预期预后不良,这只犬被人道安乐死。犬类创伤性急性肠系膜缺血可能是车辆创伤未被充分诊断的后果,对于对药物治疗无反应的持续性胃肠道症状的犬,需要进一步进行诊断性检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a02/12043653/461ba5296b40/fvets-12-1562043-g001.jpg

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