上升肠系膜的肠系膜破裂是引起绞痛的原因-回顾性病例系列

IF 0.8 4区 农林科学 Q3 VETERINARY SCIENCES
N. Verhaar, F. Geburek, G. Cuevas Ramos, S. Skov Hansen
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引用次数: 0

摘要

升结肠的腹侧和背侧部分与升肠系膜相连,很少有病例报告描述该结构的先天性或后天性畸形。本病例系列报道了6匹在剖腹探查术中诊断出的成年马的上升结肠大肠系膜裂缝(上升大肠肠系膜疝)。根据病人的病史,这些租金很可能是后天获得的。主要位于结肠左背直接邻近,不影响肠血供。缺损的大小在20至80厘米之间,5/6的病例为亚急性或慢性破裂,边缘呈圆形。两种不同类型的肠移位与租金被发现,或局部扭转结肠背或监禁盆腔屈曲在租金。在所有病例中,小肠都可以重新定位,并缝合裂口。尽管有一些小的术后并发症,短期和长期的结果都很好。据推测,在某些情况下,由子宫内马驹或复发性结肠移位引起的创伤可能是导致租金的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Mesenteric rents in the ascending mesocolon as a cause of colic — A retrospective case series

Mesenteric rents in the ascending mesocolon as a cause of colic — A retrospective case series

The ventral and dorsal components of the ascending colon are adjoined by the ascending mesocolon, and few case reports have described congenital or acquired malformations of this structure. This case series reports the occurrence of large mesenteric rents of the ascending mesocolon (Hernia mesocolica coli ascendentis) in six adult horses diagnosed during exploratory laparotomy. Based on the history of the patients, the rents were most likely acquired. The rents were mainly located directly adjacent to the left dorsal colon, and without affecting the intestinal blood supply. The size of the defect varied between 20 and 80 cm, and in 5/6 cases it was a subacute or chronic rupture with rounded edges. Two different types of intestinal displacements in relation to the rent were found, with either a localised torsion of the dorsal colon or incarceration of the pelvic flexure in the rent. In all cases, the intestine could be repositioned, and the rent was sutured. Despite some minor postoperative complications, the short- and long-term outcomes were excellent. It was hypothesised that trauma elicited by an intrauterine foal or recurrent colon displacements may have been the cause of the rent in some of the cases.

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来源期刊
Equine Veterinary Education
Equine Veterinary Education 农林科学-兽医学
CiteScore
2.40
自引率
22.20%
发文量
132
审稿时长
18-36 weeks
期刊介绍: Equine Veterinary Education (EVE) is the official journal of post-graduate education of both the British Equine Veterinary Association (BEVA) and the American Association of Equine Practitioners (AAEP). Equine Veterinary Education is a monthly, peer-reviewed, subscription-based journal, integrating clinical research papers, review articles and case reports from international sources, covering all aspects of medicine and surgery relating to equids. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of equine medicine and surgery. The educational value of a submitted article is one of the most important criteria that are assessed when deciding whether to accept it for publication. Articles do not necessarily need to contain original or novel information but we welcome submission of this material. The educational value of an article may relate to articles published with it (e.g. a Case Report may not have direct educational value but an associated Clinical Commentary or Review Article published alongside it will enhance the educational value).
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