共查询到20条相似文献，搜索用时 31 毫秒
1.
K J Matushek J R Cockshutt 《Journal of the American Veterinary Medical Association》1987,191(3):327-328
Concomitant gastric and mesenteric volvulus was diagnosed in a 5-year-old Komondorok. Despite surgical correction of both displacements, the dog died 14 hours after surgery. Although gastric volvulus is a well-known syndrome in dogs, mesenteric volvulus has been reported infrequently. This report illustrates the importance of radiography in cases of suspected gastric volvulus to rule out other potential causes of acute abdominal distention, including mesenteric volvulus. 相似文献
2.
A brachycephalic dog was presented with an acute onset of retching and abdominal discomfort. The dog had a chronic history of stertor and exercise intolerance suggestive of brachycephalic airway obstructive syndrome. Radiographs were consistent with a Type II hiatal hernia. The dog was referred and within hours of admission became acutely painful and developed tympanic abdominal distension. A right lateral abdominal radiograph confirmed gastric dilatation and volvulus with herniation of the pylorus through the hiatus. An emergency exploratory coeliotomy was performed, during which the stomach was derotated, and an incisional gastropexy, herniorrhaphy and splenectomy were performed. A staphylectomy was performed immediately following the exploratory coeliotomy. The dog recovered uneventfully. Gastric dilatation and volvulus is a potentially life‐threatening complication that can occur in dogs with Type II hiatal hernia and should be considered a surgical emergency . 相似文献
3.
A successful prophylactic permanent gastropexy was performed on a dog that had previously experienced four gastric volvulus procedures, one prophylactic pyloroplasty, and two subsequent gastric volvulus repairs. Radiographic evaluation of the previous pyloroplasty and the final permanent gastropexy are illustrated. 相似文献
4.
Ileocolic intussusception was successfully treated surgically by partial enterectomy and enteroplication in an 11-month-old, male neutered German shepherd dog. Segmental intestinal volvulus was identified in the same dog two months later and was managed successfully by a second partial enterectomy. The dog made an uneventful recovery and was free of clinical disease six months after the second surgery. Both conditions are reviewed in this case report and a possible relationship between these two episodes in this dog is discussed. 相似文献
5.
CAROL A. CARBERRY dvm diplomate acvs JAMES A. FLANDERS dvm diplomate acvs 《Veterinary surgery : VS》1993,22(3):225-228
Cecal-colic volvulus was confirmed by surgery in two dogs. Both dogs were intact, male Great Danes. The clinical and diagnostic findings were not specific for large bowel volvulus. Clinical signs included peracute to acute onset of vomiting, mild abdominal distention and pain, lack of feces, and tenesmus. Abdominal radiographs demonstrated severe dilatation of bowel loops in both dogs. One dog survived. 相似文献
6.
GARY C. LANTZ DVM DiplomateACVS GERALD D. BOTTOMS PhD WILLIAM W. CARLTON DVM PhD DiplomateACVP SCOTT NEWMAN PhD H. DAN CANTWELL DVM MS DiplomateACVR 《Veterinary surgery : VS》1984,13(3):189-196
Eighteen dogs were divided into three groups, each containing three volvulus and three control dogs. The stomachs of the volvulus dogs were rotated 360°, sutured in position, and kept decompressed by a Foley catheter placed in the fundus. Control dogs underwent the same manipulation, except that the stomach was replaced to normal position. One dog in each group was evaluated at 4, 8, and 12 hours. Evaluation consisted of SC46 microsphere injection to determine percent cardiac output to various stomach regions, and gross and microscopic changes in the stomach and other tissues drained by the portal system. Cardiac output to the control stomachs exceeded the volvulus stomachs by fivefold. Time was not a significant factor. Edema was present throughout the volvulus stomach. The most severe histologic changes, such as hemorrhage, were seen in the greater curvature of volvulus stomachs. Other portal tissues were grossly and histologically normal. Three additional dogs were evaluated 1 week after creation and reduction of a 12 hour volvulus; the stomachs were normal indicating reversibility of pathologic changes. This study demonstrates abnormal blood flow in rotated nondistended stomachs. Anatomic repositioning should take place as soon as possible in the treatment of gastric dilation volvulus. 相似文献
7.
PAUL M. SHEALY MS DVM RALPH A. HENDERSON DVM MS Dipiomate ACVS ACVIM 《Veterinary surgery : VS》1992,21(1):15-19
The records of nine dogs with intestinal volvulus were reviewed. Most were young adult (median 2.6 years) males (6/9) of medium to large breeds. Vigorous activity, dietary indiscretion, or trauma preceded volvulus. Signs included a peracute to acute onset of vomiting, hematochezia, a moderately distended and often painful abdomen, and shock. Normal packed cell volume, altered white blood cell count, hypoproteinemia, hypoalbuminemia, hypokalemia, pathologic bowel dilatation, and serosanguineous abdominal fluid were common clinical findings. Jejunum was most often affected. One dog survived with surgical management. 相似文献
8.
A German shepherd dog was presented two months after surgery for correction of acute gastric dilatation volvulus. The dog had been diagnosed with exocrine pancreatic insufficiency. Radiographs revealed marked gaseous distension of one loop of intestine with a generalised increase in intestinal gas content. A 360 degrees anticlockwise rotation of the descending and transverse colon, around the longitudinal axis of the mesocolon, was diagnosed at exploratory coeliotomy. The transverse and descending colon appeared uniformly necrotic and an end-to-end colo-colic resection and anastomosis was performed. The dog initially made satisfactory postoperative progress but was euthanased on the third postoperative day after it developed an intestinal intussusception. 相似文献
9.
P B Jennings W S Mathey W J Ehler 《Journal of the American Veterinary Medical Association》1992,200(11):1707-1708
Gastroperitoneal adhesions, which developed after tube gastrostomy in a 3-year-old dog, caused an inverted L configuration of the pyloric antrum and duodenum, resulting in periodic episodes of gastric dilatation. The dog had undergone tube gastrostomy for treatment of gastric dilatation/volvulus, but gastropexy adhesions broke down 27 months later, necessitating a second pexy procedure. Adhesions then developed, constricting gastric outflow and trapping gas in the stomach and proximal duodenum. When the ventral row of adhesions was surgically dissected, the angle between the pyloric antrum and the duodenum was straightened, facilitating flow of digesta. Gastropexy rarely causes the degree of adhesion formation and the complications reported in this dog. 相似文献
10.
Kurtis G. Tubby 《The Canadian veterinary journal. La revue veterinaire canadienne》2013,54(8):784-786
Postmortem examination of a 7-year-old German shepherd dog which had gastric dilatation/volvulus and splenectomy 2 months earlier revealed that the right middle and quadrate liver lobes were diffusely congested and torsed. The gall bladder was grossly distended and torsed along its long axis and there was evidence of bile peritonitis. 相似文献
11.
Curtis W. Probst DVM Ronald M. Bright DVM MS Norman Ackerman DVM Robert L. Goring DVM Don R. Waldron DVM 《Veterinary radiology & ultrasound》1984,25(1):37-42
In two dogs spontaneous pneumoperitoneum developed following gastric volvulus. The pneumoperitoneum resulted from splenic necrosis and Klebsiella pneumoniae peritonitis in one and from a gastric perforation near the gastroesophageal junction in the other. The first dog was successfully treated by splenectomy, abdominal lavage, and systemic antibiotic therapy; the other was treated by closure of the perforation, tube gastrostomy, abdominal lavage, and systemic antibiotic therapy. One dog was euthanized four weeks after surgery because of metastatic cancer, and the other was euthanized six weeks after surgery due to recurrence of abdominal distention and peritonitis. 相似文献
12.
Florence Thierry Marisa F. Ferreira Gavin K. Paterson Tiziana Liuti Jorge Del‐Pozo 《Veterinary radiology & ultrasound》2019,60(2):136-144
Gastric pneumatosis is an imaging finding defined as the presence of gas foci in the gastric wall. In humans, this imaging feature can result from one of two separate clinical entities: life‐threatening emphysematous gastritis or clinically benign gastric emphysema. This retrospective case series study describes the clinical and imaging features in five animals diagnosed with spontaneous gastric pneumatosis without gastric dilatation‐volvulus. Three canine and two feline cases of spontaneous gastric pneumatosis were identified on radiographic and ultrasonographic examinations. In addition to gastric pneumatosis, one dog and two cats presented concomitant systemic signs such as lethargy, hematemesis, anemia, or leukocytosis. Two dogs remained asymptomatic or presented mild gastrointestinal signs. Portal gas was described in two dogs and one cat, and pneumoperitoneum in one dog. These features were not considered clinically significant. The dog and two cats with systemic signs were euthanized due to clinical deterioration and diagnosed with emphysematous gastritis. The gastric pneumatosis of both dogs without systemic signs resolved while on medical management without antibiotic therapy. These latter cases were interpreted as consistent with gastric emphysema. Findings from the current study indicated that gastric pneumatosis can occur without gastric dilatation‐volvulus in cats and dogs and that a combination of clinical and imaging characteristics may help to differentiate between potentially life‐threatening emphysematous gastritis and relatively benign gastric emphysema. More studies are needed to determine the etiology and risk factors associated with these conditions. 相似文献
13.
W O Carter 《Journal of the American Veterinary Medical Association》1990,196(11):1829-1830
An unusual complication of gastric dilatation/volvulus developed in a 10-year-old spayed Great Dane. An aortic thromboembolus lodged in the iliac artery bifurcation 4 days after admission and tube gastropexy to correct the condition. The dog was euthanatized after 48 hours of supportive care failed to elicit any improvement. Thrombus formation appeared to originate in the left ventricle; however, a primary cause could not be determined. 相似文献
14.
W. E. WINGFIELD C. W. BETTS R. W. GREENE 《The Journal of small animal practice》1975,16(1-12):427-432
Numerous surgical procedures have been attempted to correct the immediate emergency associated with the gastric dilation-volvulus syndrome in the dog. These surgical procedures included anatomical repositioning alone, gastropexy, gastrotomy with an occasional partial gastrectomy, pyloric surgery, pharyngostomy tube, and splenectomy. None of these procedures has been shown to totally prevent recurrence of gastric volvulus. 相似文献
15.
An adult, castrated male rottweiler with a history of gastric dilatation-volvulus (GDV), which was treated 4 months previously by surgical gastric resection and incisional gastropexy, had a recurrence of clinical signs. Abdominal exploratory surgery revealed a 180 degrees -clockwise GDV, with a stretched adhesion at the original gastropexy site. The stomach was repositioned, and additional gastropexies were performed adjacent to the original gastropexy site and at the gastric fundus. The recurrence of GDV in this dog with an intact gastropexy suggested that a risk for volvulus remains after therapeutic incisional gastropexy. 相似文献
16.
Romain Javard Swan Specchi Jér?me Benamou Catherine Lapointe Jean-Baptiste Deffontaines Jér?me Planté Marc-André d’Anjou 《The Canadian veterinary journal. La revue veterinaire canadienne》2014,55(11):1096-1099
This report describes an ileocecocolic volvulus in a German shepherd dog with risk factors of previous abdominal surgeries and concurrent chronic enteropathy. Contrast-enhanced computed tomography (CT) with multiplanar reformatting was more sensitive than abdominal radiographs or ultrasound to obtain a diagnosis, because of the presence of a “whirl-sign” on CT. A combination of colopexy and cecopexy was succesfully used to treat the patient’s condition. 相似文献
17.
The lifetime probability of death from gastric dilation–volvulus (GDV) for five dog breeds was estimated based on published breed-specific longevity and GDV incidence. These breeds were Great Dane, Irish Setter, Rottweiler, Standard Poodle and Weimaraner. Lifetime risk (95% CI) of GDV in these breeds ranged from 3.9% (0–11.2%) for Rottweiler to 36.7% (25.2–44.6%) for Great Dane.
A decision-tree analysis for prophylactic gastropexy—using lifetime probability of death from GDV and expected cost savings for veterinary services as outcome measures—was undertaken to determine the preferred course of action in several dog breeds. Prophylactic gastropexy was the preferred choice of action for all breeds examined, with the reduction in mortality (versus no gastropexy) ranging from 2.2-fold (Rottweiler) to 29.6-fold (Great Dane). Assuming a prophylactic gastropexy costs US$ 400, the procedure was cost-effective when the lifetime risk of GDV was ≥34%. The maximum and minimum estimated breakeven costs for the gastopexy procedure ranged from US$ 20 (Rottweiler) to US$ 435 (Great Dane). The cost-effectiveness of prophylactic gastropexy was most sensitive to the cost of treating GDV (US$ 1500). Prophylactic gastropexy raises ethical issues that need to be considered by veterinarians and dog breeders. 相似文献
18.
Historically, omentalisation and serosal patching have been used to augment gastrointestinal wall defects or incisions where gastrointestinal viability is of concern. This report describes the novel use of a transversus abdominis muscle on-lay flap to augment and provide support to compromised intestine in three cases. The muscle flap was used to support: the ileum following reduction of an intussusception in a dog (case 1), the gastric wall following gastric strangulation, dilation and volvulus in a diaphragmatic rupture in a cat (case 2) and the jejunum following enterotomy and full-thickness ulcer resection with primary repair in a dog (case 3). All animals were discharged within 4 days postoperatively with no short- or long-term complications reported by either the referring veterinary surgeons on routine postoperative examination or on telephone follow-up with the owners (case 1: 10 months, case 2: 30 months, case 3: 6 weeks). The creation of a flap of the transversus abdominis muscle may provide a useful alternative or adjunct to previously described techniques for supporting the gastrointestinal tract when gastrointestinal tissue viability is questionable or resection is not feasible. Further prospective clinical evaluation studies would be indicated to determine whether the muscle flap remains viable or compare whether this technique should be recommended over conventional methods. 相似文献
19.
The case records of 102 cows with abomasal volvulus and 71 cows with right-side displacement of the abomasum (RDA) were examined to determine whether the preoperative base-excess concentration of the extracellular fluid could be used both as a prognostic indicator for post-operative recovery in cattle with abomasal volvulus and as an aid in differentiating between abomasal volvulus and RDA. The survival rate of cows with abomasal volvulus decreased as the base excess concentration decreased (P = 0.08); the lowest survival rate was observed in cows with base excess less than or equal to -0.1 mEq/L. There was a significant difference (0.01 less than P less than 0.025) among base excess ranges between abomasal volvulus and RDA. All cows with preoperative base-excess concentrations less than or equal to -5.0 mEq/L had abomasal volvulus, rather than RDA. 相似文献
20.
Mesenteric volvulus was diagnosed in 12 dogs over a nine-year period. Each case was presented with abdominal distension and shock. Haematochezia, which is frequently reported in association with mesenteric volvulus, was present in only two of the dogs. The diagnosis, which in all cases was based on radiography, was followed by immediate treatment for shock and surgical intervention whenever possible. In five of the 12 cases, the volvulus was treated successfully and these patients survived. This indicates that the prognosis for mesenteric volvulus might be better than is currently believed, and immediate laparotomy is recommended if mesenteric volvulus is suspected. 相似文献