What Is Your Diagnosis?

Soulsby, Stacy; Balara, Jason M; LeGrange, Suzanne N

doi:10.2460/javma.237.8.907

Cited by 6 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A predisposition to colonic torsion has been suggested in dogs with a history of previous abdominal surgery and/or chronic gastrointestinal disease. In one previous study with six dogs with colonic torsion/volvulus, four dogs had a prior history of gastric dilation‐volvulus with prophylactic gastropexy . None of the dogs in the current study had a history of previous abdominal surgery.…”

Section: Discussionmentioning

confidence: 80%

“…20 Clinical signs in dogs with colonic torsion are usually acute and nonspecific and most commonly include vomiting, lethargy, abdominal pain, and hypovolemic shock. 2,4,5,20 Dogs may also present with diarrhea or tenesmus, although this is considered to be less common. 5 This is supported by the results of the current study.…”

Section: Discussionmentioning

confidence: 99%

“…2,4,5,20 Dogs may also present with diarrhea or tenesmus, although this is considered to be less common. 5 This is supported by the results of the current study. None of the dogs with confirmed colonic torsion in this study were considered to be in hypovolemic shock at the time of presentation.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Clinical signs are nonspecific and include acute or per-acute onset of vomiting, lethargy, abdominal discomfort, and hypovolemic shock. 5 Other clinical signs such as diarrhea, tenesmus, and anorexia have also been reported. 5 It has been EQUATOR network guideline disclosure: This study conforms to the CARE reporting guidelines.…”

Section: Introductionmentioning

confidence: 96%

“…5 Other clinical signs such as diarrhea, tenesmus, and anorexia have also been reported. 5 It has been EQUATOR network guideline disclosure: This study conforms to the CARE reporting guidelines.…”

Section: Introductionmentioning

confidence: 96%

See 4 more Smart Citations

CT findings in five dogs with surgically confirmed colonic torsion

Barge

Fina

Mortier³

et al. 2019

Vet Radiology Ultrasound

View full text Add to dashboard Cite

Colonic torsion is a life‐threatening condition that results in colonic ischemia, necrosis, perforation, sepsis, and eventual death. The aim of this multicenter, retrospective case series study was to describe the CT findings in dogs with surgically confirmed colonic torsion. Medical records were searched for dogs with surgically confirmed colonic torsion following abdominal CT. Five dogs met the inclusion criteria. Three had a history of chronic intermittent diarrhea prior to presentation. Two dogs presented with acute vomiting, diarrhea, and abdominal pain and one dog presented with acute vomiting and lethargy. Computed tomographic findings in all dogs with surgically confirmed colonic torsion include: “whirl sign,” displacement and distension of the cecum and colon, focal narrowing of the colon, and distension of the mesenteric vasculature in all dogs (5/5); streaky peritoneal fat and peritoneal effusion (4/5), pneumatosis coli (2/5), small intestinal distension (2/5), portal vein thrombosis (1/5), and reduced colonic wall contrast enhancement (1/5). In all dogs (5/5), the torsion site was the descending colon and demonstrated an anticlockwise rotation. At surgery, three of the five dogs had a partial colonic torsion with hyperemia at the site of obstruction and two of the five dogs had a complete torsion with marked necrosis of the colonic wall. Displacement of the colon and cecum, segmental distension and focal narrowing of the colon, the presence of a “whirl sign” and distension of the mesenteric vasculature are CT findings highly suggestive of colonic torsion.

show abstract

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 96%

See 3 more Smart Citations

CT findings in five dogs with surgically confirmed colonic torsion

Barge

Fina

Mortier³

et al. 2019

Vet Radiology Ultrasound

View full text Add to dashboard Cite

show abstract

Colonic torsion in 4 Great Danes

Czajkowski

Fryer

2020

J Vet Emergen Crit Care

View full text Add to dashboard Cite

Objective To describe 4 Great Danes with colonic torsions and describe the risk of torsion recurrence in this breed, which has not previously been reported. This study also describes pneumocolon as a rapid and noninvasive diagnostic for confirmation of colonic torsion. Series summary Four Great Danes were presented with nonspecific gastrointestinal (GI) clinical signs. Colonic torsion was diagnosed in each case with either plain radiography identifying pneumocolon or contrast radiography (barium enema). Bloodwork in each case revealed nonspecific changes. Each case had a previous gastropexy, 3 of which were prophylactic and 1 as a surgical emergency for gastric dilatation–volvulus. Three cases had favorable outcomes with emergency surgical intervention and returned to normal activity levels with resolution of clinical signs. Two cases of colonic torsion recurred, 1 of which occurred subsequent to a prior left‐sided colopexy. One case of recurrence had persistent clinical signs following surgical revision and was euthanized. New or unique information provided This is the first report describing pneumocolon to identify a colonic torsion, providing a rapid and low‐morbidity diagnostic aid and to describe the recurrence of colonic torsion in 2 dogs. Support to a previous hypothesis for an association between colonic torsion and altered GI motility is provided. Prior publications reporting colonic torsion and entrapment in German Shepherd Dogs associated with disruption of the duodenocolic ligament reported no recurrence following correction without colopexy. The recurrence in these 2 dogs suggests colonic torsion in Great Danes may represent a different or more severe form of this condition.

show abstract

Radiographic findings and clinical factors in dogs with surgically confirmed or presumed colonic torsion

Gremillion

Savage²,

Cohen

2018

Vet Radiology Ultrasound

View full text Add to dashboard Cite

Colonic torsion is a life-threatening condition in dogs and radiographic findings for this condition have not been well described. The purpose of this retrospective case series was to describe radiographic findings and clinical signs in a group of dogs with colonic torsion. Inclusion criteria were dogs presenting during the period of 2006 and 2016, and that had abdominal radiography and a surgically confirmed or presumed diagnosis of colonic torsion. For each dog, clinical data were recorded from medical records and imaging findings were recorded from retrieved plain radiographs and positive contrast radiographs in which barium enema was performed. Fourteen dogs met inclusion criteria. Of these, nine dogs had colonic torsion confirmed at surgery, with five dogs having surgical confirmation of colonic congestion or mesenteric torsion. Radiographic findings included segmental distention of the colon (14/14), focal narrowing of the colon (11/14), displacement of cecum (11/14), displacement of descending colon (14/14), and mild to no small intestinal distention (14/14). In cases where barium enema was performed, focal narrowing of the colon and longitudinal striations that course in a helical pattern were identified, termed the "torsion sign." Vomiting was the most common clinical sign observed (12/14), followed by abdominal pain in a small majority of cases (8/14). Severe abdominal pain and hypovolemic shock were uncommon in the patients reported (3/14). Colonic torsion should be considered as a differential diagnosis for dogs with radiographic segmental colonic distention with displacement of the descending colon and cecum. Barium enema is recommended for more definitive diagnosis.

show abstract

What Is Your Diagnosis?

Cited by 6 publications

References 4 publications

CT findings in five dogs with surgically confirmed colonic torsion

CT findings in five dogs with surgically confirmed colonic torsion

Colonic torsion in 4 Great Danes

Radiographic findings and clinical factors in dogs with surgically confirmed or presumed colonic torsion

Contact Info

Product

Resources

About