Mesenteric torsion is a pathological rotation of the intestinal tract around the axis of the mesenteric root, resulting in rapid occlusion of the cranial mesenteric artery. In most patients, physical examination reveals some degree of hypovolemic, septic, or toxic shock, depending on the duration of clinical signs. Initial therapy is aimed at stabilizing the patient in hypovolemic shock with emphasis placed on preparing the patient for correction of the intestinal and vascular anatomic abnormalities as promptly as possible. Analgesics are an important component of postoperative care. Enteral or parenteral nutrition should be considered. Along with the complications commonly associated with gastrointestinal surgery (peritonitis, dehiscence, and infection), patients with intestinal volvulus are at risk for further ischemic necrosis of bowel, reperfusion injury, bacterial translocation, and short bowel syndrome. Breed and time to intervention are suspected to play a role in prognosis.
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- Bacterial translocation
- Intestinal volvulus
- Ischemic necrosis
- Mesenteric torsion
- Reperfusion injury
- Short bowel syndrome