Use of computed tomography in the diagnosis of caecal inversion in a dog and a cat. Issue 2 (12th May 2019)

• Record Type: Journal Article
• Authors: Phipps, William Bertram; Mortier, Jeremy Raphael; Booth, Malcolm; Rossanese, Matteo
• Is Part Of: Veterinary record case reports. Volume 7:Issue 2(2019)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2019-05-12
• Subjects: intussusception -- caecal inversion -- caecocolic -- abdominal -- caecum -- typhlectomy; Veterinary medicine -- Case studies -- Periodicals; Veterinary medicine -- Periodicals; 636.08905
• DOI: 10.1136/vetreccr-2019-000839
• Languages: English
• ISSNs: 2052-6121

Abstract

Abstract : Case 1 : A nine‐month‐old entire male beagle presented with a history of chronic diarrhoea, intermittent haematochezia and rectal prolapse. An exploratory laparotomy performed prior to presentation reported visualisation of a suspected caecocolic intussusception. Physical examination revealed a non‐painful, mid‐abdominal mass and laboratory findings were consistent with non‐specific gastrointestinal disease. Abdominal CT identified intraluminal inversion of the caecum into the ascending colon. Intraoperatively, the inversion was unreducible and a colotomy followed by stapled typhlectomy was performed. Case 2 : An eight‐year‐old neutered male domestic shorthair presented with a history of chronic haematochezia and intermittent partial rectal prolapse. Physical examination and laboratory findings were unremarkable. Abdominal CT revealed a caecal inversion. A midline coeliotomy followed by manual correction of the inversion and a stapled typhlectomy were performed. In both animals, CT allowed an accurate diagnosis and appropriate management of caecal inversion, a rarely reported small animal large intestinal disease.