PDF(Pubmed)
Abstract：
In this case report, we present an unusual clockwise torsion of left colon around mesenteric root in a 10-month-old Arab filly, highlighting the clinical presentation, diagnostic approach and successful surgical intervention. A 10-month-old Arab filly weighing approximately 250 kg was referred with signs of acute abdominal pain. The history revealed anorexia, restlessness and severe abdominal pain that had begun the previous day. The local practitioner had previously administered flunixin meglumine, an analgesic, but it proved ineffective in relieving the pain. Upon physical examination, the filly exhibited sweating, a body temperature of 38.5°C, tachycardia (65 beats per minute) and tachypnea (25 breaths per minute). Due to the severity of the colic and the lack of response to the conservative treatments, surgical intervention was deemed necessary. An exploratory midline celiotomy was performed to evaluate the abdominal organs. During the examination, no obvious primary lesions were identified in the evaluated organs. However, a restriction in exteriorizing the left colon\'s length was observed. Further examination revealed an unusual clockwise torsion of the left colon that displaced in left to the right side around the mesenteric root; thereby, pelvic flexure was located in the normal anatomical position with a short length. To the best of our knowledge, this is the first reported case of clockwise torsion and an atypical displacement of the left colon in horses. The surgical correction of the displacement was successfully performed. The filly showed improvement post-surgery and did not exhibit any complications during the recovery period.
摘要：
在这个案例报告中,我们在10个月大的阿拉伯雌马的肠系膜根部周围出现了不寻常的左结肠顺时针扭转，突出临床表现，诊断方法和成功的手术干预。一只10个月大的阿拉伯雌马，体重约250公斤，有急性腹痛的迹象。历史揭示了厌食症，前一天开始的躁动和严重的腹痛。当地医生以前曾服用氟尼辛葡甲胺，镇痛药,但事实证明它在缓解疼痛方面无效。在体检时,雌马流汗，体温为38.5°C，心动过速（每分钟65次）和呼吸急促（每分钟25次呼吸）。由于绞痛的严重程度和对保守治疗缺乏反应，手术干预被认为是必要的。进行了探索性中线切开术以评估腹部器官。在考试期间,在评估的器官中未发现明显的原发性病变。然而,观察到左结肠长度外切的限制。进一步检查发现，左结肠有一个不寻常的顺时针扭转，在肠系膜根部周围从左向右移位；因此，骨盆屈曲位于正常解剖位置，长度短。据我们所知,这是马的第一个顺时针扭转和左半结肠不典型移位的病例。成功进行了移位的手术矫正。雌马在手术后显示出改善，并且在恢复期未出现任何并发症。
