{"title":"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","authors":"Caitlin M. Bowen, Miryam Reems","doi":"10.1002/vrc2.904","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Critical upper gastrointestinal bleeding secondary to pine stall shaving ingestion and mechanical gastritis in a young dog\",\"authors\":\"Caitlin M. Bowen, Miryam Reems\",\"doi\":\"10.1002/vrc2.904\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":23496,\"journal\":{\"name\":\"Veterinary Record Case Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2024-06-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Veterinary Record Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/vrc2.904\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Record Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/vrc2.904","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
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.
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.