산통 증상을 보인 12세된 웜블러드(거세, 540 kg) 말로부터 임상검사 및 실험실 검사결과 모래 등 이물에 의한 장폐색으로 진단하여 개복술과 장절개술을 실시한 결과 장결석을 확인하여 적출하였다. 적출한 장결석은 약 2.9 kg, 녹갈색, 럭비공 크기($22cm{\times}10cm$)였다. 주사전자현미경(FE-SEM, Hitachi S-4300모델)을 이용하여 원소성분(EDX)을 분석한 결과 400배율에서 C(30.08%), O(39.85%), Mg(3.89%), P(11.15%), Ca(11.16%)가 높게 나타났다. 국내 말에서 크기가 가장 큰 장결석 적출 및 치료가 성공적으로 진행된 최초의 예로서 그 의의가 있다고 볼 수 있다.
산통 증상을 보인 12세된 웜블러드(거세, 540 kg) 말로부터 임상검사 및 실험실 검사결과 모래 등 이물에 의한 장폐색으로 진단하여 개복술과 장절개술을 실시한 결과 장결석을 확인하여 적출하였다. 적출한 장결석은 약 2.9 kg, 녹갈색, 럭비공 크기($22cm{\times}10cm$)였다. 주사전자현미경(FE-SEM, Hitachi S-4300모델)을 이용하여 원소성분(EDX)을 분석한 결과 400배율에서 C(30.08%), O(39.85%), Mg(3.89%), P(11.15%), Ca(11.16%)가 높게 나타났다. 국내 말에서 크기가 가장 큰 장결석 적출 및 치료가 성공적으로 진행된 최초의 예로서 그 의의가 있다고 볼 수 있다.
After clinical and laboratory tests of a 12-year-old warmblood horse (castrated male, 540 kg) displaying symptom of pain, a diagnosis of intestinal obstruction due to foreign substances like sand was made and an abdominal section and enterotomy were conducted to confirm and extract the intestinal st...
After clinical and laboratory tests of a 12-year-old warmblood horse (castrated male, 540 kg) displaying symptom of pain, a diagnosis of intestinal obstruction due to foreign substances like sand was made and an abdominal section and enterotomy were conducted to confirm and extract the intestinal stone (enterolith) on the right dorsal part of the ascending colon. The extracted intestinal stone was around 2.9 kg and greenish brown rugby ball sized ($22cm{\times}10cm$) stone. Analysis of the element components (EDX) using a scanning electron microscope revealed percentages of C (30.08%), O (39.85%), Mg (3.89%), P (11.15%), and Ca (11.16%) at a magnification of 400. This was the first example of a successful extraction and treatment of intestinal stone in a horse domestically and thereby has its significance.
After clinical and laboratory tests of a 12-year-old warmblood horse (castrated male, 540 kg) displaying symptom of pain, a diagnosis of intestinal obstruction due to foreign substances like sand was made and an abdominal section and enterotomy were conducted to confirm and extract the intestinal stone (enterolith) on the right dorsal part of the ascending colon. The extracted intestinal stone was around 2.9 kg and greenish brown rugby ball sized ($22cm{\times}10cm$) stone. Analysis of the element components (EDX) using a scanning electron microscope revealed percentages of C (30.08%), O (39.85%), Mg (3.89%), P (11.15%), and Ca (11.16%) at a magnification of 400. This was the first example of a successful extraction and treatment of intestinal stone in a horse domestically and thereby has its significance.
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제안 방법
A hand drawing exercise was conducted for ten days twice a day after the operation, and feeding was tempered for three days after the operation and fresh water was provided. After the end of the tempered feeding period, hay was fed and ten days after the operation, a normal amount of hay was fed.
The results of the ultrasonography revealed that obstructive pathologies including a portion of the large colon displaced to the outer side of the spleen and large colon mucous membrane thickening and sacculation loss could be observed (Fig 1), although pathologies to the small intestine were not confirmed. Clinical testing and ultrasounding made a diagnosis of intestinal obstruction due to foreign substances like sand, and an abdominal section and an enterotomy were made on the day of diagnosis.
대상 데이터
The enterolith was greenish brown rugby ball sized (about 22 cm × 10 cm, 2.9 kg) stone (B).
성능/효과
There was no abnormal diagnosis following the examination to the rectum, but middle mesentric tensity increase and swelling to the cecum at the right side of the abdominal cavity were observed. The results of the ultrasonography revealed that obstructive pathologies including a portion of the large colon displaced to the outer side of the spleen and large colon mucous membrane thickening and sacculation loss could be observed (Fig 1), although pathologies to the small intestine were not confirmed. Clinical testing and ultrasounding made a diagnosis of intestinal obstruction due to foreign substances like sand, and an abdominal section and an enterotomy were made on the day of diagnosis.
참고문헌 (10)
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Hassel DM, Langer DL, Synder JR, Drake CM, Goodell ML, Wyle A. Evaluation of enterolithiasis in equids; 900 cases (1973-1996). J Am Vet Med Assoc 1999; 214: 233-237.
Hassel DM, Rakestraw PC, Gardner IA, Spier SJ, Snyder JR. Dietary risk factors and colonic pH and mineral concentrations in horses with enterolithiasis. J Vet Intern Med 2004; 18: 346-349.
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Yarbrough TB, Langer DL, Snyder JR, Gardner IA, O'Brien TR. Abdominal radiography for diagnosis of enterolithiasis in horses: 141 cases (1990-1992). J Am Vet Med Assoc 1994; 205: 592-595.
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