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Surgical resection of an enteric duplication cyst in a domestic rabbit (Oryctolagus cuniculus)

机译:国内兔(Oryctolagus cuniculus)的肠道复制囊肿外科手术切除

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Background: Congenital enteric duplication cysts are a rare congenital subtype of endodermal duplication. Case Description: A 6-year-old, neutered male domestic rabbit (Oryctolagus cuniculus) presented for an abdominal mass that had been identified by his primary veterinarian on routine physical examination. The mass was initially treated procaine/benzathine benzylpenicillin without improvement in the size of the mass. On presentation to the referral center, physical examination and abdominal ultrasound confirmed a firm, round caudal abdominal mass. Aside from minor changes, bloodwork was unremarkable. The mass was thick-walled and contained hyperechoic structures that were suspected to indicate either gas or mineralization. Differentials for the mass included a mesenteric abscess or an intestinal neoplasm. The rabbit was hospitalized prior to an exploratory laparotomy and mass removal. Exploratory surgery revealed a 5.0 x 4.0 x 3.5 cm abdominal mass that had multiple adhesions to the surrounding small intestines but did not appear to be originating from the intestinal tissue. The adhesions were broken down via blunt dissection and bipolar electrocauterization. The mass was excised and submitted for bacterial culture and histopathology. The culture yielded growth of Escherichia coli and Bacteroides fragilis. Histopathology revealed a presumed congenital enteric cyst. The rabbit recovered well from surgery with supportive care and was discharged two days after the procedure. The animal was doing well at home over 1 year postoperatively. Conclusions and Case Relevance: This report describes successful surgical treatment and long-term survival of a domestic rabbit with an enteric cyst. Enteric cysts should be included in the list of differential diagnoses in a rabbit presenting for an abdominal mass.
机译:背景:先天性肠道复制囊肿是一种罕见的先天性内胚层复制亚型。病例描述:一只6岁的阉割雄性家兔(Oryctolagus cuniculus)因腹部肿块而出现,该肿块已由其主要兽医在常规体检中确认。最初对肿块进行普鲁卡因/苄星青霉素处理,但肿块大小没有改善。在介绍给转诊中心时,体检和腹部超声证实了一个坚实、圆形的腹部尾部肿块。除了细微的变化外,血迹也不起眼。肿块壁厚,含有高回声结构,怀疑为气体或矿化。肿块的区别包括肠系膜脓肿或肠道肿瘤。这只兔子在剖腹探查和切除肿块之前住院。探查性手术发现一个5.0 x 4.0 x 3.5 cm的腹部肿块,与周围小肠有多处粘连,但似乎并非源自肠组织。通过钝性剥离和双极电灼术,粘连被破坏。切除肿块并进行细菌培养和组织病理学检查。培养物产生大肠杆菌和脆弱类杆菌的生长。病理组织学检查显示为先天性肠道囊肿。在支持性护理下,兔子从手术中恢复良好,术后两天出院。术后1年多,这只动物在家里表现良好。结论和病例相关性:本报告描述了一只患有肠道囊肿的家养兔子的成功手术治疗和长期存活。小肠囊肿应包括在腹部肿块兔子的鉴别诊断列表中。

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