Intussusception
Juga dikenal sebagai: Gastroesophageal intussusception, Jejunal intussusception, Jejunojejunal intussusception, Ileocolic intussusception, Cecocolic intussusception, Jejunocolic intussusception
Singkatnya
Intussusception is a life-threatening veterinary emergency where one segment of the intestine telescopes into another, causing a severe blockage and cutting off blood flow. Prompt surgical intervention is typically required to save the animal's life.
TL;DR. Darurat mengancam nyawa: segmen usus masuk ke segmen lain, menyumbat aliran dan pasokan darah; biasanya bedah segera.
Segmen usus meluncur ke segmen tetangga dan menekan pasokan darah.
Apa itu?
Obstruksi mekanis. Mesenterium tertekan: iskemia, nekrosis, peritonitis septik jika robek. Urgensi tertinggi.
Penyebab dan faktor risiko
Parasit, parvovirus, benda asing, gastroenteritis, tumor. Predisposisi: German Shepherd, labradoodle, golden retriever; lebih pada muda.
Tanda
- Muntah
- Nyeri abdomen
- Diare berdarah sedikit
- Massa teraba berbentuk sosis
- Anoreksia, depresi
Nyeri abdomen hebat dan abdomen tegang tipikal.
Diagnosis
Palpasi, USG (pola target), rontgen, enema kontras atau kolonoskopi. Laparotomi eksplorasi.
Pengobatan
Bedah: reduksi jika viable; jika tidak reseksi dan anastomosis. Cairan, analgesik, antibiotik.
Prognosis
Sering baik dengan bedah dini tanpa peritonitis.
Pencegahan
Obat cacing, vaksinasi, ganti diet perlahan, hindari objek tertelan.
Kapan menghubungi dokter hewan
Segera jika muntah persisten, nyeri abdomen hebat, feses berdarah sedikit, atau kolaps.
Sumber
- Internal Medicine, 5th Edition, pages 513, 514
- Atlas of Small Animal Ultrasonography, 2nd Edition, page 278
My highlights & notes
Tanda & gejala
Ras berisiko lebih tinggi
Cara didiagnosis
- Exploratory surgeryStandar emas
- Abdominal Palpation
- Abdominal Ultrasonography
- Barium contrast enema
- Colonoscopy
- Plain abdominal radiographs
Pertanyaan umum
What is Intussusception?
Intussusception is a life-threatening veterinary emergency where one segment of the intestine telescopes into another, causing a severe blockage and cutting off blood flow. Prompt surgical intervention is typically required to save the animal's life.
What are the symptoms of Intussusception?
Palpable abdominal mass、Scant bloody diarrhea、Vomiting (throwing up)、Belly pain、Fresh blood in stool、Loss of appetite、Low mood and dullness、Low blood albumin
How is Intussusception diagnosed?
Exploratory surgery、Abdominal Palpation、Abdominal Ultrasonography、Barium contrast enema、Colonoscopy、Plain abdominal radiographs
Sumber
- Internal Medicine 5th · p. 513
- Atlas of Small Animal Ultrasonography, 2nd Edition · p. 278
- Internal Medicine 5th · p. 514
- Internal Medicine 5th · p. 513
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