黑松蛇结肠憩室病的研究

W. Abbott, Miranda J. Sadar, Timothy B Kloer, D. Smeak, Devin von Stade, Sushan Han
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摘要

摘要研究了一条6岁的雄性人工饲养黑松蛇(Pituophis melanoleucus lodingi),体重0.49 kg,口到口长度为127 cm,用于评估已经存在3天的尾鳍体腔肿胀。x线片显示体壁局灶性扩张,伴大量软组织和矿物混浊。开始抗炎和经验性抗生素治疗,无明显改善。体腔超声显示积液和肠道改变符合肠套叠。在探查性剖腹探查时,发现肿块是一个10厘米长的结肠憩室。进行结肠切除术,在切除和关闭肠缺损之前,从憩室的管腔中取出浓缩的粪便物质。切除组织的组织学检查符合肠憩室和平滑肌层的完全缺失,表明肠壁非穿孔性破裂。手术后5天,这条蛇平静地恢复并开始进食。术后8个月体格及超声检查,蛇体状况改善,无临床症状复发,术后30个月在家正常。
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Colonic Diverticulosis in a Black Pine Snake (Pituophis Melanoleucus Lodingi)
Abstract A 6-yr-old captive-bred male black pine snake (Pituophis melanoleucus lodingi) weighing 0.49 kg with a snout-to-vent length of 127 cm was presented for evaluation of a caudal coelomic swelling that had been present for 3 days. Survey radiographs showed focal distention of the body wall with a mass of soft tissue and mineral opacity. Anti-inflammatory and empiric antibiotic treatments were initiated, with no significant improvement. Coelomic ultrasound showed effusion and intestinal changes consistent with an intussusception. On exploratory celiotomy, the mass was found to be a 10-cm-long colonic diverticulum. A colotomy was performed and inspissated fecal material was removed from the lumen of the diverticulum prior to its resection and closing of the bowel defect. Histological examination of the excised tissue was consistent with an intestinal diverticulum and complete absence of the smooth muscle layers, indicating nonperforating rupture of the bowel wall. The snake recovered uneventfully and began eating 5 days after surgery. On physical and ultrasound examinations 8 months after surgery, the snake's body condition had improved and there was no recurrence of clinical signs, with the snake remaining normal 30 months postsurgery at home.
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