Intussusception Secondary to Parvovirus Enteritis in 3 Dogs

Abstract

Case Description- Among the patients which referred to our hospital during one year with parvoviral gastroenteritis, intussusception was diagnosed in<br><br>three dogs. First dog was two month-old, male, Great Dane, second dog was three month-old, male, crossed breed, third dog was seven month-old,<br><br>female, crossed breed which referred.<br><br>Clinical Findings- In clinical examination depression, dehydration, weight loss, vomiting, dyschezia, tenesmus, rectal prolapse and haematochezia<br><br>were revealed. The cause of enteritis was considered to be parvoviral gastroenteritis since canine parvoviral antigen (CPV-2) by kit (Quicking CPV Ag<br><br>Rapid Test Kit, Model No. W81006, China) was detected. Abdominal radiography and abdominal ultrasonography were performed on the patients that<br><br>were suspected of having intussusception. Thereafter they referred to surgery department for treatment.<br><br>Treatment and Outcome- First patient died under general anaesthesia due to severity of systemic disease. Second patient surgery was successful and<br><br>he recovered completely. Third patient died one day after surgery due to systemic disease and complications.<br><br>Clinical Relevance- Intussusception is a type of intestinal obstruction that is created by the forceful invagination of one part of the intestine into the<br><br>lumen of an adjacent segment and affects mainly young animals. The exact pathophysiology of the intussusception still remains unclear. It may begin as<br><br>a result of a local intestinal incongruency in homogeneity (induration, acidity or sudden anatomic change in diameter) or a mechanical linkage of nonadjacent<br><br>intestinal segments, which leads to a kink or a fold in the bowel wall. Intussusception has been reported to occur as a sequel to a number of<br><br>conditions such as intestinal parasitism, linear foreign bodies, non-specific gastroenteritis, viral-induced enteritis (parvovirus, distemper), leptospirosis,<br><br>intraluminal masses and prior abdominal surgery. Treatment of intussusception in dogs is by laparotomy and manual reduction or resection and<br><br>anastomosis of the affected intestinal segment. Intussusception associated with systemic disease (e.g. acute viral enteritis or gastroenteritis) has an<br><br>increased morbidity and mortality. In this case serial report, an attempt has been made to demonstrate that acute enteritis or gastroenteritis is the most<br><br>likely predisposing factor for the intestinal intussusception in young dogs. It must be noticed that it is a severe pathologic life-threatening condition if<br><br>diagnosis and surgical correction was postponed.