Stapled side-to-side jejunocecostomy as surgical treatment for ileocecal intussusception in a 6 years old criollo mare

Júlia Girardi Townsend; Rafaela Amestoy de Oliveira; Manuela Tondin; Júlia Abas Andrade

doi:10.33448/rsd-v14i2.48334

Autores

Júlia Girardi Townsend Federal University do Rio Grande do Sul https://orcid.org/0009-0008-8329-2163
Rafaela Amestoy de Oliveira Federal University of Pelotas https://orcid.org/0000-0002-1201-7040
Manuela Tondin Federal University of Rio Grande do Sul https://orcid.org/0009-0006-8089-392X
Júlia Abas Andrade Federal University of Rio Grande do Sul https://orcid.org/0009-0001-4090-3429

DOI:

https://doi.org/10.33448/rsd-v14i2.48334

Palavras-chave:

Cólica; Intussuscepção; Jejunocecostomia; Grampeadores Gastrointestinais.

Resumo

A síndrome cólica é uma comum e perigosa afecção que provoca desconforto abdominal nos equinos, cuja resolução pode ser clínica ou cirúrgica, decorrente de um conjunto de possíveis alterações. Entre elas está a intussuscepção, em que um segmento intestinal - o intussuscepto - é envolvido por um segmento aboral adjacente - o intussuscipiente. A evolução do quadro provoca isquemia e necrose das alças intestinais envolvidas, justificando a importância do diagnóstico e da resolução precoces. Quando envolve o íleo e faz-se necessária sua completa ressecção, a jejunocecostomia é a técnica cirúrgica recomendada para resolução, deixando um coto ileal remanescente e criando um novo orifício ileocecal. Este trabalho tem o objetivo de relatar o caso de uma égua, Crioula, 6 anos de idade que foi diagnosticada presuntivamente através dos achados clínicos e ultrassonográficos (formação do "olho de touro"), com uma intussuscepção aguda, confirmando-se a suspeita durante a celiotomia exploratória à qual foi encaminhada precocemente. A anastomose do ceco à extremidade resseccionada do jejuno, deu-se por meio de grampeadores gastrointestinais. A cirurgia foi bem sucedida e a paciente recebeu alta hospitalar, sem complicações, 7 dias após o procedimento, retornando posteriormente às suas atividades de forma satisfatória. O presente trabalho reforça o impacto do tempo entre atendimento e resolução no prognóstico dos pacientes com cólica, graças aos prejuízos progressivos, tanto locais como sistêmicos, provocados por essa síndrome.

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Jejunocecostomia latero-lateral com grampeadores como tratamento cirúrgico de intussuscepção ileocecal em égua crioula de 6 anos de idade

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