病例報告：紅毛猩猩便秘及直腸脫之治療

Case Report: Constipation and Rectal Prolapse in an Orangutan

季昭華(Chau-Hwa Chi) ； 朱俊享(Junn-Shang Ju)

《中華民國獸醫學會雜誌》 23卷2期 (1997/04) Pp. 132-136

https://doi.org/10.7009/JTCSVS.199704.0132

摘要

一隻六歲雄性紅毛猩猩，外觀削瘦、毛色粗糙、因長期便秘，引起強烈裏急後重，導致直腸脫出，經X光檢查及腹部觸診時得知有大量硬結糞便充滿於結腸內，另於糞檢中發現有糞桿線蟲感染。雖經灌腸、輕瀉劑及直腸回位口袋縫合術之處理失敗，依然無法使其排便。因此開腹，將此等硬結便以手擠壓結腸方式依序推出肛門外後，將直腸用可吸收縫線固定於腹腔背位，以防止直腸再次脫出。經二星期加護診療，紅毛猩猩恢復良好。經定期驅蟲及改變食物管理後，再無復發情形發生。

關鍵字

便秘 ； 直腸脫 ； 開腹術 ； 直腸固定術 ； 紅毛猩猩

並列摘要

A six-year-old male orangutan, with thin appearance and poor hair coat, was constipated for many days. Its strong tenesmus caused rectal prolapse. On radiographs and abdominal palpation, the whole colon was impacted with hard fecal masses. Strongyloides were found in fecal examination. Enemas and luxatives were administered to remove feces under general anesthesia but failed. Celiotomy was performed and fecaliths removed by manual squeezing. The colon was fixed to dorsal abdominal wall using synthetic absorbable suture to prevent recurring rectal prolapse. After two weeks, intensive care, the animal recovered well, and the rectal prolapse has not happened again.

並列關鍵字

Constipation ； Rectal prolapse ； Celiotomy ； Colopexy ； Orangutan