한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제41권4호
  • /
  • Pages.241-245
  • /
  • 2024
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지
DOI QR코드

DOI QR Code

Small Bowel Obstruction Induced by Fecal Material in a Dog

  • Daji Noh (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Kyungpook National University) ;
  • Hyun-Guk Shin (24 Africa Animal Medical Center) ;
  • Sang-Kwon Lee (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Kyungpook National University) ;
  • Kija Lee (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Kyungpook National University)
  • 투고 : 2024.06.20
  • 심사 : 2024.08.02
  • 발행 : 2024.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A 12-year-old spayed female dog presented with vomiting and anorexia for four days. Radiographic examination revealed that the small intestines were distended with fecal material. Ultrasound examination showed irregular marginated material with moderate shadowing throughout several segments of the small intestines. Proximal to this intestinal material, small intestines were distended with fluid. The patient underwent one-day of hospitalization, and descent of small bowel fecal materials (SBFMs) was confirmed on radiographs. However, surgical removal was performed due to worsening clinical signs and echogenic changes in the mesentery observed on ultrasound. During surgery, intestinal congestion was observed along with congestion and edema in the surrounding mesentery. Two segments of the small intestines were resected, and feces were found within the resected segments. The patient showed rapid recovery postoperatively and experienced no recurrence. SBFM can induce mechanical intestinal obstruction, and if radiographic evidence of SBFM is observed in patients with vomiting, surgical resection would be considered.

키워드

과제정보

The authors thank Dr. Junyeong Lee from 24 Africa Animal Medical Center for his dedication to patient care and treatment.

참고문헌

  1. Ciasca TC, David FH, Lamb CR. Does measurement of small intestinal diameter increase diagnostic accuracy of radiography in dogs with suspected intestinal obstruction? Vet Radiol Ultrasound 2013; 54: 207-211. 
  2. Delabrousse E, Baulard R, Sarlieve P, Michalakis D, Rodiere E, Kastler B. [Value of the small bowel feces sign at CT in adhesive small bowel obstruction]. J Radiol 2005; 86: 393-398. French. 
  3. Drost WT, Green EM, Zekas LJ, Aarnes TK, Su L, Habing GG. Comparison of computed tomography and abdominal radiography for detection of canine mechanical intestinal obstruction. Vet Radiol Ultrasound 2016; 57: 366-375. 
  4. Ferre-Dolcet L, Sussan B. Acute colonic impaction and faecaloma due to canine benign prostatic hyperplasia - case report. Acta Vet Hung 2021; 69: 9-13. 
  5. Finck C, D'Anjou MA, Alexander K, Specchi S, Beauchamp G. Radiographic diagnosis of mechanical obstruction in dogs based on relative small intestinal external diameters. Vet Radiol Ultrasound 2014; 55: 472-479. 
  6. Fuchsjager MH. The small-bowel feces sign. Radiology 2002; 225: 378-379. 
  7. Hyun JE, Han HJ. Small bowel obstruction induced by concurrent postoperative intra-abdominal adhesions and small bowel fecal materials in a young dog. Vet Sci 2021; 8: 83. 
  8. Kim J, Yoon H, Eom K. Imaging diagnosis - radiography, ultrasonography, and computed tomography of a giant fecaloma causing stercoral perforation of the colon in a dog with a prostatic abscess. Vet Radiol Ultrasound 2018; 59: E38-E43. 
  9. Lazarus DE, Slywotsky C, Bennett GL, Megibow AJ, Macari M. Frequency and relevance of the "small-bowel feces" sign on CT in patients with small-bowel obstruction. AJR Am J Roentgenol 2004; 183: 1361-1366. 
  10. Mayo-Smith WW, Wittenberg J, Bennett GL, Gervais DA, Gazelle GS, Mueller PR. The CT small bowel faeces sign: description and clinical significance. Clin Radiol 1995; 50: 765-767. 
  11. Mullen KM, Regier PJ, Ellison GW, Londono L. The pathophysiology of small intestinal foreign body obstruction and intraoperative assessment of tissue viability in dogs: a review. Top Companion Anim Med 2020; 40: 100438. 
  12. Sangnes DA, Lundervold K, Bekkelund M, von Volkmann HL, Berentsen B, Gilja OH, et al. Gastrointestinal transit and contractility in diabetic constipation: a wireless motility capsule study on diabetes patients and healthy controls. United European Gastroenterol J 2021; 9: 1168-1177. 
  13. Sharma A, Thompson MS, Scrivani PV, Dykes NL, Yeager AE, Freer SR, et al. Comparison of radiography and ultrasonography for diagnosing small-intestinal mechanical obstruction in vomiting dogs. Vet Radiol Ultrasound 2011; 52: 248-255. 
  14. Sheedy SP, Earnest F 4th, Fletcher JG, Fidler JL, Hoskin TL. CT of small-bowel ischemia associated with obstruction in emergency department patients: diagnostic performance evaluation. Radiology 2006; 241: 729-736. 
  15. Takeda M, Mizutani Y, Yamano M, Tsukamoto K, Suzuki T. Gastric emptying in diabetic gastroparetic dogs: effects of SK-951,a novel prokinetic agent. Pharmacology 2001; 62: 23-28. 
  16. Wang Q, Chavhan GB, Babyn PS, Tomlinson G, Langer JC. Utility of CT in the diagnosis and management of small-bowel obstruction in children. Pediatr Radiol 2012; 42: 1441-1448. 
  17. Whitehead K, Cortes Y, Eirmann L. Gastrointestinal dysmotility disorders in critically ill dogs and cats. J Vet Emerg Crit Care (San Antonio) 2016; 26: 234-253. 
  18. Zielinski MD, Eiken PW, Bannon MP, Heller SF, Lohse CM, Huebner M, et al. Small bowel obstruction-who needs an operation? A multivariate prediction model. World J Surg 2010; 34: 910-919.