Torsión intestinal provocada por una adherencia mesentérica y resuelta mediante enteroanastomosis en una Schnauzer con diabetes Mellitus.

Abstract

A two-year-old female Schnauzer dog with a history of diabetes mellitus arrived at the veterinary clinic due to multiple episodes of vomiting. When performing the clinical examination the patient had panting, tachycardia, his body temperature was 38.6 ° C, he showed pain to the abdominal palpation and the submandibular lymph nodes were reactive. It was decided to perform an ultrasound examination of the abdominal cavity in which it was possible to detect dilated and corrugated bowel loops with recoiling intestinal contents, a fluid free of isoechoic echogenicity in the abdomen, which when taking a sample by abdominocentesis was yellowish white, To obtain an accurate diagnosis by ultrasound, it was decided to perform an exploratory laparotomy in which an intestinal torsion was found at the level of the ileum due to an adhesion produced presumably as a result of a sterilization performed years ago. Then we proceeded to extract the portion affected by the torsion since it showed signs of necrosis, before this a blood glucose measurement was performed, which had a value of 376 mg / dL, once that portion was removed, the enteroanastomosis was performed intestine that suffered the damage from the occlusion and then the abdominal cavity was closed, the next day a follow-up ultrasound was performed, finding more free fluid in the abdomen. When taking another sample of abdominal fluid was observed bloody, on the third day the abdomen was incised to remove the bloody free liquid as it had increased in volume, but necrosis of the intestine, liver, spleen, among others was observed. The hyperglycemia that was present in addition to the bloody fluid obtained in the second abdominocentesis, served as an enriched medium for the cultivation of bacteria of alltypes. Given the findings and the poor prognosis that was found, the decision to perform euthanasia was made.