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1.
A 2-year-old Miniature Dachshund was admitted to the hospital because of fever, frequent vomiting, and watery diarrhea. An intra-abdominal mass and a gastric ulcer were detected. At laparotomy, the omentum was yellow but not icteric, irregularly thickened, and fragile, and a large mass involving the root of the mesentery and the gastrosplenic ligament was found. The histopathologic diagnosis was steatitis, and the dog was treated with prednisolone and cyclosporine for 2.5 years. After 1.5 years, the abdominal mass was not detectable. The dog died suddenly from perforation of the small intestine caused by a foreign body. Necropsy revealed severe adhesions between portions of the small intestine, and cicatrization of the mesentery. Cause of the mesenteric and omental steatitis was not apparent.  相似文献   

2.
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3.
Three Holstein cows were admitted on postpartum day 3 with signs of abdominal pain, inappetence, and decreased milk production. All 3 were depressed, tachycardic, and dehydrated. Right paralumbar fossa laparotomy was performed on each cow. At surgery, a rent in the proximal portion of the jejunal mesentery, with perforation of the jejunum adjacent to the mesenteric rent, was found in all 3 cows. All had evidence of severe peritonitis and gross contamination of the abdomen with digesta. Because of severe peritonitis and inability to exteriorize the affected segment of jejunum, all 3 cows were euthanatized. We postulate that the mesenteric rent occurred at the time of parturition, resulting in ischemia and jejunal perforation in the segment of jejunum adjacent to the rent.  相似文献   

4.
Duodenal and jejunal resections were performed in a cat with septic peritonitis due to small intestinal perforations by a linear foreign body. Three days later jejunal resection and anastomosis were repeated due to dehiscence of the anastomosis site. This segment of intestine was exteriorized through the body wall and managed with bandages for 5 days before it was surgically replaced into the abdomen. The cat made a full recovery.  相似文献   

5.
Twenty-two foals were divided into groups of intestinal distension and intestinal ischaemia as methods to induce peritoneal adhesions. In the first group, the lumen of a segment of distal small intestine was occluded without extramural vascular compromise and distended with lactated Ringer's solution to a constant pressure of 25 cm H2O for 2 h within the abdomen. The ischaemic group underwent 70 mins total vascular occlusion of identical segments of bowel. Serosal biopsies were obtained before and after each experimental procedure and following 60 mins of reperfusion. Similar biopsies were harvested from a control group of foals with no bowel occlusions. The foals were destroyed 10 days after surgery and tissues collected for histological and ultrastructural evaluation. Experimental and control mesothelial surfaces were denuded histologically immediately after experimental occlusions. Serosal oedema and cellular infiltration were observed following reperfusion of the ischaemic segments but were present immediately after 2 h of distension. All foals had developed bowel-to-bowel and bowel-to-mesentery adhesions of the experimental segments. Control foals under 30 days old exhibited mesenteric contraction and thickening of the isolated segment whereas those older than 30 days had little or no mesenteric thickening or contraction. Histologically, in the experimental segments, fibrous tissue had formed on the outer boundary of the original serosa, and new mesothelial-like cells were present on the surface of fibrous tissue in some areas. Some serosal fibrosis was also seen in most of the control segments.  相似文献   

6.
Serum levels of type III procollagen peptide (P-III-P) were measured by radioimmunoassay in clinically normal adult ponies (n = 15) and horses (n = 10). The mean serum levels of P-III-P from the ponies, 10.4 +/- 2.9 (SD) ng/mL, and the horses, 12.2 +/- 2.6 (SD) ng/mL, were not significantly different. Segments of jejunum were made ischemic to induce fibrous peritoneal adhesions in two ponies, and serum P-III-P levels were measured on days 4, 5, 7, 14, and 21. An exploratory celiotomy on day 21 revealed that the ischemic injury had induced fibrosis of the mesentery and bowel, but no adhesions had formed. The fibrotic mesentery contained type III collagen. The highest mean serum level of P-III-P, 23.0 +/- 3.5 (SD) ng/mL on day 7, was more than 4 SD above the mean from the normal ponies. There was a significant difference in the serum P-III-P levels in the ponies on days 0 (7.1 +/- 1.6 ng/mL) and 7 (23.0 +/- 3.5 ng/mL). Serum levels of P-III-P may be useful to study fibrosis associated with intestinal ischemia.  相似文献   

7.
OBJECTIVE: To document morphologic changes that occur in equine intestinal serosa after experimentally induced ischemia and subsequent reperfusion (jejunum, ascending colon) or after intraluminal distention and decompression (jejunum). STUDY DESIGN: Morphologic effects of ischemia-reperfusion or intraluminal distention-decompression determined on the serosal layer of the equine jejunum. The large colon serosa was evaluated after ischemia-reperfusion injury. ANIMALS OR SAMPLE POPULATION: Seven adult horses. METHODS: After induction of general anesthesia and ventral median celiotomy, ischemia was created by arteriovenous (AVO) and lumen occlusion of a 20-cm segment of jejunum and ascending colon for 70 minutes, followed by a 60-minute reperfusion period. Intraluminal distention (25 cm H2O) was created in a second 20-cm jejunal segment and maintained within the abdomen for 120 minutes, followed by a 120-minute decompression period. Seromuscular biopsies were obtained upon entering the abdomen and after the ischemic and reperfusion periods, and after the distention and decompression periods along with corresponding control seromuscular biopsies. Samples were processed and examined by light microscopy, transmission electron, and scanning electron microscopy. RESULTS: Ischemia and reperfusion, and intraluminal distention and decompression, resulted in severe morphologic changes in the seromuscular layer of equine jejunum. A similar period of ischemia-reperfusion caused minimal changes in the ascending colon serosa. CONCLUSION: Adult equine jejunum sustains more serosal damage than the ascending colon after similar periods of ischemia-reperfusion injury. Intraluminal distention and subsequent decompression causes serosal damage in the equine jejunum. CLINICAL RELEVANCE: The small intestine is more susceptible to seromuscular layer damage than the ascending colon.  相似文献   

8.
A two‐year‐old spayed female shih‐tzu was referred with a 10‐month history of lethargy, chronic diarrhoea and weight loss. On presentation, a partial response to antibiotics was noted. Physical examination revealed an abdominal mass, and serum biochemistry and haematology revealed a mature neutrophilia, hypoalbuminaemia and a non‐regenerative anaemia. Contrast radiography and abdominal ultrasound were suggestive of an intraluminal foreign body. Exploratory laparotomy revealed a surgical swab in the lumen of the jejunum that was associated with severe adhesions. Histopathology showed evidence of transmural migration of the swab from the peritoneal cavity to the lumen of the jejunum.  相似文献   

9.
A 13-month-old Charolais steer was examined because of anorexia and weight loss of 1 week's duration. Initially, the steer passed tarry feces for 2 days, but no feces were passed for 4 days before examination. Palpation per rectum disclosed moderate distention of the small intestine and dark tenacious mucus in the rectum. Standing celiotomy was performed through the right paralumbar fossa, and a 60-cm segment of small intestine was found to be entrapped by a fibrous band between the caudal abdominal wall and the pelvic inlet. The band was transected and the intestine was freed. The intestine was judged to be viable and the abdomen was closed. Histologically, the fibrous band consisted of ductus deferens and adnexa; the intestine had become incarcerated through a rent in the mesoductus. Small intestine entrapment through a rent in the right mesoductus was diagnosed in 20 additional steers over a 10-year period. In all cases, the steers had been castrated when weighing more than 100 kg, by manual traction on the testicle and spermatic cord through a scrotal incision. Alternate means of castration that prevent disruption of the abdominal mesoductus may prevent development of this condition.  相似文献   

10.
OBJECTIVE: To evaluate the effect of sodium carboxymethylcellulose (SCMC) or a hyaluronate-carboxymethylcellulose membrane (HA membrane) on healing of the small intestine in horses. ANIMALS: 18 healthy adult horses. PROCEDURE: Midline celiotomy and 2 jejunal resection-and-anastomosis surgeries were performed. In treated horses, SCMC (n = 6) or a HA membrane (6) was applied to the jejunum to cover the anastomosis. There were 6 untreated control horses. Horses were euthanatized 10 days after surgery. For each horse, 1 anastomosis was used for histologic examination, and the second was used to determine intestinal bursting strength. Intestinal bursting tension, serosal granulation tissue, serosal fibrin deposition, and width of the fibrous seal at the anastomosis were compared among groups. RESULTS: 3 control horses had adhesions associated with the anastomosis, but none of the treated horses had adhesions associated with the anastomosis. Mean thickness of fibrin deposited on the serosal surfaces for the SCMC and HA-membrane groups was significantly less than that for control horses. Mean thickness of serosal granulation tissue, width of fibrous seal between inverted musculature, inflammatory cell infiltrate scores, and bursting tension did not differ significantly among groups. CONCLUSIONS AND CLINICAL RELEVANCE: Use of SCMC or application of a HA membrane to small intestinal anastomoses in horses resulted in fewer adhesions and decreased fibrin deposition, and it did not adversely affect anastomotic healing. In horses at increased risk for intra-abdominal adhesions, SCMC or application of HA membranes may decrease the frequency of adhesions without adversely affecting healing of small intestinal anastomoses.  相似文献   

11.
The biomechanical holding strength and histological characteristics of a laparoscopic stapled gastropexy (LG) adhesion were compared with that of an incisional gastropexy (IG) adhesion. An LG was performed in 14 dogs and an IG was performed in six dogs. During the LG procedure, the abdomen was insufflated with carbon dioxide and three cannulae were placed in the caudal aspect of the right side of the abdomen. A 35 mm laparoscopic stapler was used to staple the gastric antrum to the adjacent right lateral abdominal wall. The IG procedure was performed through a ventral midline celiotomy. A 35 mm IG was made by apposing the gastric antrum to the adjacent right lateral abdominal wall with two continuous rows of suture. Half of each group of dogs was euthanatized at 7 and 30 days after surgery. The mean tensile load to failure at 7 days was 44.86 ± 18.54 N for the LG group and 85.33 ± 23.59 N for the IG group ( P <.05). At 30 days the values were 72.93 ± 18.01 N for the LG group and 71.17 ± 12.11 N for the IG group ( P =.41). The gastropexy adhesions in the 7-day postoperative group contained variable amounts of fibrin, hemorrhage, mononuclear cell inflammation, loose fibrovascular tissue, and mature collagenous connective tissue. Adhesions in the 7-day postoperative group were divided subjectively into three histological subgroups based on the relative amounts of mature connective tissue within the adhesion. The LG and IG adhesions were randomly distributed among these subgroups ( P = 1.0). Adhesions in the 30-day postoperative group contained well-organized fibrous connective tissue. No difference in the amount of connective tissue could be detected histologically in the LG or IG adhesions. Complications with the LG procedure included stomach perforation (2 cases), splenic puncture (2 cases), and subcutaneous emphysema (4 cases).  相似文献   

12.
Ten young horses with signs of simple partial obstruction of the small intestine were found upon surgical exploration of the abdomen to have chronic intussusception of the distal ileum into the cecum. Poor general physical condition, intermittent or continual abdominal pain of varying degree, depression, and poor appetite were consistent clinical findings. Rectal palpation in eight animals was suggestive of an incomplete or intermittent obstruction of the small intestine. Laboratory determinations were not helpful in making a diagnosis. Dilatation and hypertrophy of the distal jejunum and ileum were associated surgical findings indicating chronicity of the problem. Surgical correction utilizing an end-to-side or a side-to-side anastomosis of small intestine to cecum resulted in recovery in 7 of 8 cases which could be followed long term. Failure to resect the abnormal segment of small intestine did not affect the outcome.  相似文献   

13.
While playing or simply because of avidity, dogs may ingest a variety of foreign bodies. Ingested foreign bodies, which are not stopped in the mouth or oesophagus, enter into the stomach. Once a foreign body has passed through the pylorus, jejunum and ileum appear to be the most common sites of the small intestine obstruction. The records of 103 cases, treated at the Clinic for Surgery, Orthopaedics and Ophthalmology of the Veterinarian Faculty, University of Zagreb from January 1981 till December 1998 were analysed. The analysis included the incidence of ileus caused by foreign bodies and the distribution of patients by sex, age, breed, duration of illness, site of obstruction, types of foreign bodies and the interrelation between these parameters. The results of our research show that the number of patients with foreign body induced ileus is increasing. Males ingested foreign bodies more often than females. Foreign body induced ileus was more frequently found in animals below 2 years of age. Foreign bodies were mostly ingested by mongrels, but also by popular dog breeds such as Dobermanns, Poodles, Cocker Spaniels and Rottweiler. Most of these ileus cases were found in March and October and the predominant clinical signs included anorexia, dehydration, abdominal tenderness and absence of defecation. The most common site of small intestine obstruction by foreign bodies was the jejunum, and the most effective treatment was enterotomy. Dogs mostly ingested stones, plastic and rubber objects. The treatment was more successful in dogs below 2 years of age. Patients that died post-surgically, died mostly the first day after surgery.  相似文献   

14.
Eighty-four incidents of gastric dilation (bloat) were investigated in 76 pet rabbits, and an intestinal obstruction was confirmed in 64 of them. In 49 the obstruction was due to pellets of compressed hair, in four to locust bean seeds, in five to neoplasia, in two to postspay adhesions, and in one case each to carpet fibre, tapeworm cysts, a strangulated hernia and diverticulosis. In all but four cases, the obstruction was in the small intestine. The condition affected a variety of breeds fed on a variety of diets. Radiography was a useful diagnostic tool because gas and/or fluid in the digestive tract outlined the dilated stomach and intestines. Twenty-nine of the rabbits died or were euthanased without treatment, and 40 underwent exploratory surgery; of these, 10 died during surgery, three were euthanased because of intestinal neoplasia, eight died postoperatively and 19 recovered. Fifteen rabbits in which radiography indicated that a foreign body had passed out of the small intestine did not undergo surgery; of these, 13 recovered and two died.  相似文献   

15.
An 8-year-old, domestic short hair cat with a known history of hypertrophic cardiomyopathy and previous aortic thromboembolism was presented for 24 h of vomiting and pyrexia. Initial abdominal radiographs were unremarkable. On an upper gastrointestinal series, delayed gastric emptying and prolonged small intestinal transit time were found. An initial abdominal ultrasound revealed a focal region of aperistaltic small intestine with mild wall thickening, however, intestinal wall layering in this area appeared normal. By 72 h, there was a diffusely hypoechoic portion of thickened small bowel (0.51 cm) with loss of the normal layering and hyperechoic mesentery surrounding this segment of bowel. A small bowel infarction and focal peritonitis were suspected and confirmed at surgery.  相似文献   

16.
Eleven cases of adenocarcinomas of the gastrointestinal tract were reviewed. Six tumours were considered to be of gastric origin, three originated from the jejunum and two from exocrine pancreatic tissue. Clinical signs were variable, but intermittent anorexia and vomiting were common features. Grossly, there was marked fibrosis involving the mesentery in nine cases, the omentum in 10 cases, and the abdominal surface of the diaphragm in three cases. Neoplasms that primarily involved the stomach or jejunum caused localised thickening of the bowel wall with mucosal ulceration. Pancreatic masses were continuous with the peritoneal lesion. The major histological feature in the mesentery and omentum was small islands of neoplastic cells surrounded by abundant proliferating connective tissue.  相似文献   

17.
本试验旨在利用地塞米松构建应激模型,研究应激对肉仔鸡肠道小肽吸收的影响。选取200只21日龄、体质量相近的雄性Arbor Acres(AA)肉仔鸡,随机分为4个处理,每只腹部皮下连续7 d注射1 mL地塞米松磷酸钠注射液(不同处理注射剂量分别为0、0.1、0.52、.5 mg.kg-1BW)。最后一次注射8 h后(15:00)空腹称取体质量,采血、取空肠,进行组织学、皮质酮、小肽Gly-Sar吸收和小肽转运载体PepT-1 mRNA表达的检测,结果表明:⑴地塞米松显著降低肉仔鸡体增质量(P0.05);⑵地塞米松显著抑制肉仔鸡空肠外翻肠囊及刷状缘囊膜对小肽Gly-Sar的吸收(P0.05);⑶地塞米松显著增加肉仔鸡空肠隐窝深度(P0.05),显著降低绒毛高度、吸收面积和绒毛高度/隐窝深度比值(P0.05),对绒毛宽度影响不显著(P0.05);⑷地塞米松显著降低肉仔鸡空肠小肽载体PepT-1 mRNA的表达量(P0.05)。由本试验推测应激可抑制肉仔鸡小肽吸收,产生原因与空肠黏膜形态受损及小肽转运载体PepT-1 mRNA表达量受到抑制有关。  相似文献   

18.
OBJECTIVE: To evaluate the efficacy of a bioresorbable hyaluronate-carboxymethylcellulose membrane (HA-membrane) for prevention of experimentally induced abdominal adhesions in horses. STUDY DESIGN: Experimental study. ANIMAL POPULATION: Twelve healthy adult horses. METHODS: The effect of an HA-membrane on adhesion formation was evaluated in 12 healthy horses using an established model of serosal trauma to induce adhesions. A ventral median celiotomy and two jejunal resections and end-to-end anastomoses were performed. Two separate jejunal areas were abraded, and three 2-0 chromic gut sutures placed in the abraded areas. In treated horses (n = 6), HA-membranes were applied to the jejunum to completely cover the anastomoses and abraded areas of jejunum. Nontreated horses (n = 6) served as controls. All horses were killed 10 days after surgery. The abdominal cavity was evaluated for adhesion formation. The frequency of intra-abdominal adhesions between groups was compared with a chi2 test with statistical significance set at P < .05. RESULTS: All control horses had intra-abdominal adhesions; fibrous adhesions were associated with both jejunal abrasion sites in 5 horses. One treated horse developed adhesions. There were significantly fewer adhesions in the HA-membrane-treated group (P < .0034). CONCLUSIONS: In this experimental model, application of an HA-membrane to a localized area of serosal trauma reduced the frequency of intra-abdominal adhesion formation. CLINICAL RELEVANCE: Application of an HA membrane may decrease the frequency of adhesions in horses at an increased risk of postoperative adhesion formation.  相似文献   

19.
The topography of the thoraco-abdominal viscera in the ostrich was studied in 20 birds varying in age from 2 weeks to 12 months. The lungs occupied the dorsal third of the thorax, and the heart lay in the cranioventral thorax perpendicular to the long axis of the body. There was no pleural cavity. The liver was situated in the caudoventral part of the thorax, and the proventriculus occupied the left cranial part of the abdomen between the 7th vertebral rib and the acetabulum. The gizzard lay in the cranioventral part of the abdomen, resting on the sternum and abdominal floor. The duodenum formed a loop from right to left, with the pancreas lying between the 2 limbs of the loop. The coiled jejunum and ileum occupied the ventral part of the abdomen between the gizzard and pelvis. The two caeca lay on either side of the terminal ileum with their apices in the pelvis. The rectum was the longest part of the intestine and could be divided into a thick proximal segment situated in the right dorsal part of the abdomen, and a thin distal part that occupied the left caudodorsal part of the abdomen. The trilobed kidneys lay along the ventral surface of the synsacrum, with the adrenal glands at their cranioventral poles. The testes lay ventrally to the cranial divisions of the kidneys, whereas the left ovary was situated ventrally to the cranial division of the left kidney. The spleen lay wedged in between the right kidney, caudal vena cava and proventriculus. The thyroid glands were situated at the cranial borders of the subclavian arteries, and the thymus lay at the base of the neck.  相似文献   

20.
A 9-yr-old female Bornean orangutan (Pongo pygmaeus pygmaeus) presented with a 48-hr history of depression, lethargy, anorexia, and mucoid discharge from the rectum. Clinical, radiographic, and ultrasonographic examination demonstrated the presence of multiple distended loops of intestine, intestinal adhesions, and free gas within the abdomen. During exploratory laparotomy, fibrinopurulent diffuse peritonitis as a result of a ruptured intrapelvic abscess with associated large bowel adhesions was evident. The abdomen was thoroughly lavaged, necrotic debris and abscess wall removed, and fibrinous adhesions disrupted. The orangutan was kept sedated for 48 hr to allow for intensive care. Six months later, when the orangutan presented with similar clinical signs, ultrasonographic examination demonstrated the presence of a pelvic abscess. The previous procedure was repeated with the addition of a hysterectomy. This report is the first documentation of long-term management following surgical intervention for internal abdominal abscessation and septic peritonitis in a great ape.  相似文献   

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