Du Toit D F, Homan W P, Reece-Smith H, McShane P, French M E, Denton T G, Morris P J
Vet Rec. 1981 Jan 10;108(2):34-5. doi: 10.1136/vr.108.2.34.
In 138 mongrel dogs given renal transplants, 10 developed postoperative intussusceptions. The sites were jejunojejunal (seven), ileo-ileal (two) and ileocolic (one). In 30 puppies given intrasplenic autografts of dispersed pancreatic fragments after total pancreatectomy, five developed jejunojejunal intussusceptions. Presenting signs included vomiting, failure to eat, periodic attacks of pain, straining with the passage of bloodstained mucous, dehydration, weight loss, abdominal wall rigidity and an abdominal mass. The majority of dogs presented within the first seven days following transplantation, occasionally as late as the third week. Early operative intervention was essential to save the dogs and at laparotomy eight of nine intussusceptions were successfully reduced manually; one small bowel resection was performed for irreducibility. Recurrence was not observed in this series but reoperation in the puppies was invariably fatal. Factors contributing to the development of intussusception in the puppies included round worm infestation, recent dietary change following weaning, malabsorption and diarrhoea due to pancreatic insufficiency following pancreatectomy and respiratory infections suggesting an infective origin for the intussusceptions.
在138只接受肾移植的杂种狗中，10只术后发生肠套叠。部位为空肠-空肠（7例）、回肠-回肠（2例）和回肠-结肠（1例）。在30只全胰切除术后接受脾脏内分散胰腺碎片自体移植的幼犬中，5只发生空肠-空肠肠套叠。临床表现包括呕吐、拒食、周期性腹痛、排出带血黏液时用力、脱水、体重减轻、腹壁僵硬及腹部肿块。大多数狗在移植后的头7天内出现症状，偶尔也会晚至第三周。早期手术干预对于挽救狗的生命至关重要，在剖腹手术中，9例肠套叠中有8例通过手法成功复位；1例因无法复位而进行了小肠切除术。本系列未观察到复发，但幼犬再次手术无一例外均告死亡。幼犬发生肠套叠的相关因素包括蛔虫感染、断奶后近期饮食变化、胰腺切除术后胰腺功能不全导致的吸收不良和腹泻以及呼吸道感染，提示肠套叠的感染源。
