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首页> 外文期刊>Journal of Exotic Pet Medicine >Surgical treatment of rectocutaneous fistula in a juvenile guinea pig (Cavia porcellus) using a rectal pull-through technique
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Surgical treatment of rectocutaneous fistula in a juvenile guinea pig (Cavia porcellus) using a rectal pull-through technique

机译：使用直肠拉伸技术手术治疗幼年豚鼠（鲕瓣Porcellus）的外肠瘘

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Background: Atresia ani - the lack of an anal opening - is a rare condition in small animals. In some cases a connection forms between the blind end of the rectum and the skin (rectocutaneous fistula) that allows passage of feces. Only three cases have been found in the exotic mammal literature: two guinea pigs and one rabbit. Case presentation: A 6-month-old female guinea pig was presented for vocalization and difficulties during defecation that started 2 weeks before. During physical examination an imperforate anus and an abnormal opening located ventrally to it were detected. The guinea pig was able to pass very small feces through the abnormal opening with apparent discomfort. Once the stools were produced, the patient would go back to its normal behavior. A type 2 atresia ani combined with a rectocutaneous fistula was diagnosed. Surgical reconstruction of the anal canal preserving the fistula by means of using a pull-through technique to create a nonpainful, ectopic anus was performed. Conclusions and clinical relevance: Surgical treatment of rectocutaneous fistula was effective in the guinea pig of this case report. Future studies including a larger affected population and with long-term follow-up are needed.
机译：背景：肛门闭锁——肛门开口缺失——在小动物中是一种罕见的疾病。在某些情况下，直肠的盲端与允许粪便通过的皮肤（直肠皮肤瘘）之间形成连接。在外来哺乳动物文献中只发现了三例：两只豚鼠和一只兔子。病例介绍：一只6个月大的雌性豚鼠在2周前开始出现发声和排便困难。在体检过程中，发现肛门闭锁和位于肛门腹侧的异常开口。豚鼠能够通过异常的开口排出非常小的粪便，明显感到不适。一旦出现大便，患者就会恢复正常行为。诊断为2型肛门闭锁合并直肠皮肤瘘。手术重建肛管保留瘘通过使用拉通技术创造一个无毒，异位肛门进行。结论和临床相关性：在本病例报告的豚鼠中，手术治疗直肠皮肤瘘是有效的。未来的研究需要包括更大的受影响人群和长期随访。

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