Mesenteric torsion in a Miniature Schnauzer

Miniature Schnauzer에서 발생한 장간막 염전 1증례

  • Choi, Jihye (Haemaru Referral Animal Hospital, Seongnam) ;
  • Kim, Hyunwook (Haemaru Referral Animal Hospital, Seongnam) ;
  • Kim, Jinkyung (Haemaru Referral Animal Hospital, Seongnam) ;
  • Jang, Jaeyoung (Haemaru Referral Animal Hospital, Seongnam) ;
  • Kim, Junyoung (College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Yoon, Junghee (College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University)
  • 최지혜 (해마루 이차진료동물병원) ;
  • 김현욱 (해마루 이차진료동물병원) ;
  • 김진경 (해마루 이차진료동물병원) ;
  • 장재영 (해마루 이차진료동물병원) ;
  • 김준영 (서울대학교 수의과대학 BK21 수의과학연구인역양성사업단) ;
  • 윤정희 (서울대학교 수의과대학 BK21 수의과학연구인역양성사업단)
  • Accepted : 2008.01.30
  • Published : 2008.03.30

Abstract

Mesenteric torsion was diagnosed in a 2-year-old, spayed female Miniature Schnauzer. The patient was presented with acute depression, vomiting, lethargy and hematochezia. On physical examination, severe dehydration, tachycardia, tachypnea, weak femoral pulse, delayed capillary refill time and pale mucous membrane were found and the dog was in shock. Radiography and ultrasonography revealed intestines distended with gas, ascites and the "C" shaped distended intestine. Medical treatments including fluid therapy, analgesics, antibiotics and lidocaine for reducing reperfusion injury were applied. And then, the mesenteric torsion was definitively diagnosed through exploratory laparotomy and intestinal resection and anastomosis were performed. The dog made an uneventful recovery and was free of clinical sign one week after surgery. Mesenteric torsion is an unusual and life-threatening disease in dogs. It has usually been described in the middle and large breed dogs, especially German Shepherds. However, the mesenteric torsion should be included in the differential diagnostic lists for acute abdomen even in small breed dog. The mortality rate of mesenteric torsion can be reduced through prompt diagnosis, proper preventive therapy for shock and reperfusion injury and emergency surgery.

Keywords

References

  1. Bentley AM, O'Toole TE, Kowaleski MP, Casale SA, McCarthy RJ. Volvulus of the colon in four dogs. J Am Vet Med Assoc 2005, 227, 253-256 https://doi.org/10.2460/javma.2005.227.253
  2. Cairo J, Font J, Gorraiz J, Martin N, Pons C. Intestinal volvulus in dogs: a study of four clinical cases. J Small Anim Pract 1999, 40, 136-140 https://doi.org/10.1111/j.1748-5827.1999.tb03058.x
  3. Camble PJ, Page CA. Mesenteric torsion in a toy dog. Vet Rec 1992, 130, 166-167
  4. Carberry CA, Harvey HJ, Blackburn H. Small intestinal volvulus in a dog. Compend Contin Educ Pract Vet 1989, 11, 1322-1325
  5. Cassutto BH, Gfeller RW. Use of intravenous lidocaine to prevent reperfusion injury and subsequent multiple organ dysfunction syndrome. J Vet Emerg Crit Care 2003, 13, 137-148 https://doi.org/10.1046/j.1435-6935.2003.00080.x
  6. Cosenza SF. Recognizing and treating mesenteric torsion in dogs. Vet Med 1996, 91, 929-933
  7. Drobatz KJ, Hughes D, Hill C, Walker L. Volvulus of the colon in a cat. J Vet Emerg Crit Care 1996, 6, 99-102 https://doi.org/10.1111/j.1476-4431.1996.tb00037.x
  8. Evans HE, Christensen GC. The Digestive apparatus and abdomen. In: Evans HE (ed.). Miller's Anatomy of the Dog. 3rd ed. pp. 385-462, Saunders, Philadelphia, 1993
  9. Fossum TW. Surgery of the small intestine. In: Fossum TW, Hedlund CS, Hulse DA, Johnson AL, Seim HB III, Willard MD, Carroll GL (eds.). Small Animal Surgery. 1st ed. pp. 292-318, Mosby, St. Louis, 1997
  10. Halfacree ZJ, Beck AL, Lee KC, Lipscomb VJ. Torsion and volvulus of the transverse and descending colon in a German shepherd dog. J Small Anim Pract 2006, 47, 468-470 https://doi.org/10.1111/j.1748-5827.2006.00018.x
  11. Harvey HJ, Rendano VT. Small bowel volvulus in dogs: clinical observations. Vet Sur 1984, 13, 91-94
  12. Jasani S, House AK, Brockman DJ. Localised midjejunal volvulus following intussusception and enteroplication in a dog. J Small Anim Pract 2005, 46, 398-401 https://doi.org/10.1111/j.1748-5827.2005.tb00337.x
  13. Junius G, Appeldoorn AM, Schrauwen E. Mesenteric volvulus in the dog: a retrospective study of 12 cases. J Small Anim Pract 2004, 45, 104-107 https://doi.org/10.1111/j.1748-5827.2004.tb00211.x
  14. Leib MS, Matz ME. Diseases of the small intestine. In: Leib MS, Monroe WE (eds.). Practical Small Animal Internal Medicine. 2nd ed. pp 753-823, WB Saunders, Philadelphia, 1999
  15. Matushek KJ, Cockshutt JR. Mesenteric and gastric volvulus in a dog. J Am Vet Med Assoc 1987, 191, 327-328
  16. Milner HR, Newington AN. Longitudinal colonic torsion as a cause of tenesmus in an adult Irish Water Spaniel. N Z Vet J 2004, 52, 40-43 https://doi.org/10.1080/00480169.2004.36389
  17. Nemzek JA, Walshaw R, Hauptman JG. Mesenteric volvulus in the dog: A retrospective study. J Am Anim Hosp Assoc 1993, 29, 357-362
  18. Parker WM, Presnell KR. Mesenteric torsion in the dog: two cases. Can Vet J 1972, 13, 283-284
  19. Rahal SC, Garib MI, Mamprim MJ, Teixeira CR. Mesenteric torsion in a dog. Can Vet J 2000, 41, 710-711
  20. Raiha M, Westermarck E. The signs of pancreatic degenerative atrophy in dogs and the role of external factors in the ethiology of the disease. Acta Vet Scand 1989, 30, 447-452
  21. Shealy PM, Henderson RA. Canine intestinal volvulus. A report of nine new cases. Vet Surg 1992, 21, 15-19
  22. Westermarck E, Rimaila-Parnanen E. Mesenteric torsion in dogs with exocrine pancreatic insufficiency : 21 cases 1978-1987 . J Am Vet Med Assoc 1989, 195, 1404-1406
  23. Yanoff SR, Willard MD, Boothe HW, Walker M. Short-bowel syndrome in four dogs. Vet Surg 1992, 21, 217-222 https://doi.org/10.1111/j.1532-950X.1992.tb00049.x