Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Ultrasonographic Findings of Pneumatosis Intestinalis in a Dog

개에서 장 기종의 초음파적 특징 1례

  • Song, Yu-Mi (College of Veterinary Medicine, Research Institute of Veterinary Medicine, Chungnam National University) ;
  • Lee, Jeong-Yang (College of Veterinary Medicine, Research Institute of Veterinary Medicine, Chungnam National University) ;
  • Lee, Jung-Woo (College of Veterinary Medicine, Research Institute of Veterinary Medicine, Chungnam National University) ;
  • Jeung, Woo-Chang (College of Veterinary Medicine, Research Institute of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-Won (College of Veterinary Medicine, Research Institute of Veterinary Medicine, Chungnam National University) ;
  • Choi, Ho-Jung (College of Veterinary Medicine, Research Institute of Veterinary Medicine, Chungnam National University)
  • 송유미 (충남대학교 수의과대학 영상진단교실) ;
  • 이정양 (충남대학교 수의과대학 영상진단교실) ;
  • 이정우 (충남대학교 수의과대학 영상진단교실) ;
  • 정우창 (충남대학교 수의과대학 영상진단교실) ;
  • 이영원 (충남대학교 수의과대학 영상진단교실) ;
  • 최호정 (충남대학교 수의과대학 영상진단교실)
  • Accepted : 2013.04.16
  • Published : 2013.04.30
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Abstract

A 4-month-old, intact male mongrel dog was presented with trauma (hit by car), astasia, stupor and abdominal pain. Radiographic findings were peritoneal effusion, intestinal dilation, right iliac fracture, and microcardia. Abdominal ultrasonography revealed severely, dilated small intestine containing anechoic fluid in lumen and intramural gas within the wall. The sonographic finding suggested pnematosis intestinalis (PI), and vascular compromise of bowel loop by trauma was strongly suspected. After the dog was dead, postmortem examination revealed discolored and necrotized small intestine strangulated by sublumbar muscle. The detection of echogenic gas bubbles in the wall of bowel using ultrasound may be helpful in detecting PI.

4개월령의 수컷 잡종견이 교통사고에 의한 외상, 기립불능, 혼수, 복부통증으로 내원하였다. 방사선 검사에서 복수, 장 확장, 우측 장골 골절, 소심증이 확인되었다. 복부 초음파 검사에서 내강에 무 에코의 액체와 장벽 점막 내 가스를 함유하고 있는 심하게 확장된 소장 분절이 관찰되었다. 이러한 초음파적 특징은 장 기종 (pneumatosis intestinalis)에서 관찰되며, 이것은 외상에 따른 장 분절의 혈관 혈류 이상에 의한 것으로 의심된다. 환축이 폐사 한 후 부검한 결과, 일부 장 분절이 요추하 근육에 의해 교액되어 변색 및 괴사한 상태임을 확인하였다. 초음파는 장벽 내 에코가 있는 가스를 확인하여 장 기종을 진단할 수 있는 유용한 수단이다.

Keywords

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