Trostle S S, Markel M D
Department of Surgical Sciences, Veterinary Medical Teaching Hospital, University of Wisconsin, Madison 53706.
J Am Vet Med Assoc. 1993 Mar 1;202(5):773-5.
Incarceration of the large colon through a rent in the gastrosplenic ligament of a horse was surgically corrected via ventral midline celiotomy. Clinical signs were similar to those in other horses with nonstrangulating large colon disorders. Diagnosis of large colon incarceration in the gastrosplenic ligament was determined by surgical abdominal exploration. The findings of medial deviation of the spleen, location of the large colon lateral to the stomach and caudolateral to the spleen, and caudocraniad passage of the large colon through the gastrosplenic ligament are similar to findings in horses with small intestinal incarcerations in the gastrosplenic ligament. Correction was facilitated by performing a pelvic flexure colotomy and evacuating colonic contents prior to returning the large colon through the rent to its normal anatomic position.
一匹马的大结肠通过胃脾韧带的裂孔发生嵌顿，经腹中线剖腹术进行了手术矫正。临床症状与其他患有非绞窄性大结肠疾病的马匹相似。胃脾韧带内大结肠嵌顿的诊断通过手术腹部探查确定。脾脏向内侧移位、大结肠位于胃外侧和脾脏尾外侧以及大结肠经胃脾韧带向尾头侧走行的发现与胃脾韧带内小肠嵌顿的马匹的发现相似。在将大结肠通过裂孔恢复到其正常解剖位置之前，通过进行骨盆弯曲结肠切开术并排空结肠内容物，便于进行矫正。
