一只幼犬因误食松树刨花和机械性胃炎而导致严重的上消化道出血

IF 0.3 Q4 VETERINARY SCIENCES Veterinary Record Case Reports Pub Date : 2024-06-25 DOI:10.1002/vrc2.904
Caitlin M. Bowen, Miryam Reems
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引用次数: 0

摘要

一名 8 个月大的雄性斯塔福德郡猎犬因急性嗜睡而就诊。患者严重贫血。诊断和临床结果表明,患者上消化道严重出血,病因不明。大容量输血(共计 64.2 毫升/千克血制品)和药物治疗使病情稍稍稳定。连续的影像学检查显示胃内有持续的非阻塞性异物。由于胃肠道持续出血、药物治疗无效以及胃内异物持续存在,建议进行手术探查。通过剖腹探查术和胃切除术,取出了大量松木刨花。大体上显示出弥漫性粘膜出血和机械性胃炎。胃切除术后不需要额外的血液制品。据作者所知,这是第一例因摄入松木刨花(一种通常被认为无害的材料)引起机械性胃炎而导致严重出血并需要大量输血的病例报告。
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Critical upper gastrointestinal bleeding secondary to pine stall shaving ingestion and mechanical gastritis in a young dog
An 8‐month‐old, male, entire Staffordshire terrier was presented for acute lethargy. The patient was severely anaemic. Diagnostic and clinical findings indicated severe upper gastrointestinal haemorrhage of unknown aetiology. Large‐volume transfusion (a total of 64.2 mL/kg of blood product) and medical management resulted in fleeting stabilisation. Serial imaging documented persistent non‐obstructive foreign material within the stomach. Due to continued gastrointestinal haemorrhage, failure to respond to medical management, and the persistent abnormal material within the stomach, surgical exploration was recommended. Exploratory laparotomy and gastrotomy resulted in the removal of a large volume of pine stall shavings. There was gross evidence of diffuse mucosal haemorrhage and mechanical gastritis. No additional blood product was required following gastrotomy. To the authors’ knowledge, this is the first case report of a dog with critical bleeding necessitating large‐volume transfusion due to mechanical gastritis from ingestion of pine stall shavings, a material which is typically considered innocuous.
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来源期刊
Veterinary Record Case Reports
Veterinary Record Case Reports Veterinary-Veterinary (all)
CiteScore
0.50
自引率
33.30%
发文量
266
期刊介绍: Vet Record Case Reports is an online resource that publishes articles in all fields of veterinary medicine and surgery so that veterinary professionals, researchers and others can easily find important information on both common and rare conditions. Articles may be about a single animal, herd, flock or other group of animals managed together. Common cases that present a diagnostic, ethical or management challenge, or that highlight aspects of mechanisms of injury, pharmacology or histopathology are deemed of particular educational value. All articles are peer reviewed and copy edited before publication.
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