Pancreatic torsion in a puppy with an acute abdomen.

Andrew D Lukasiewicz, Katie D Mauro, Tara D Assenmacher
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Abstract

Objective: To describe the treatment of a unique cause of acute abdomen in a puppy.

Case summary: An 11-week, 5-day-old female intact Alaskan Malamute was presented to an emergency service for an acute onset of vomiting. On evaluation, the puppy was found to have cranial abdominal pain with an otherwise normal physical examination. An inflammatory leukogram with no other clinically significant findings was found on the initial diagnostics. An abdominal ultrasound showed peritoneal effusion and a lobulated structure in the left cranial abdomen. An emergency exploratory celiotomy was performed, during which evidence of torsion was found in the left limb of the pancreas, which was subsequently excised from the abdomen. The puppy was hospitalized overnight and discharged the next day. Histopathology of the pancreas was consistent with torsion.

Unique information provided: Pancreatic torsion is a rare but potential cause of acute abdomen in dogs and can be successfully treated with surgical excision.

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一只患有急腹症的幼犬发生胰腺扭转。
病例摘要病例摘要:一只 11 周大、出生 5 天的雌性阿拉斯加雪撬犬因急性呕吐到急诊就诊。经评估,发现该幼犬有头颅腹痛,但体格检查正常。在初步诊断中发现了炎性白细胞,但没有其他有临床意义的发现。腹部超声波检查显示左颅腹部有腹腔积液和分叶状结构。紧急进行了探查性开腹手术,术中发现胰腺左侧肢体有扭转的迹象,随后从腹部切除了胰腺。小狗在医院住了一晚,第二天出院。胰腺组织病理学检查结果与扭转一致:胰腺扭转是一种罕见但可能导致犬急腹症的病因,可通过手术切除成功治疗。
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