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Congenital duodenocolic fistula in a dog
Authors:A. Lecoindre  D. Saade  P. Barthez  J. L. Cadoré  P. Lecoindre
Affiliation:1. ECVIM‐CA Internal Medicine;2. Service de Médecine interne, VetAgro Sup Campus Vétérinaire de Lyon, Lyon, France;3. Internal Medicine Department, Ecole Nationale Veterinaire d'Alfort, Université Paris‐Est, Maisons‐Alfort Cedex, France;4. Veterinary Diagnostic Imaging, Vedim SARL, 4979 Fingig, Luxembourg;5. Service de Médecine Interne, CVC Clinique des Cerisioz, Lyon, France
Abstract:A one‐year‐old female cocker spaniel presented with a 6‐month history of persistent diarrhoea. Abdominal ultrasonographic examination revealed mild diffuse thickening of the intestinal wall coupled with mesenteric lymphadenopathy. A connection between the duodenum and the colon was observed during an endoscopic procedure and confirmed by computed tomography. Surgical resection of the communication allowed remission of the diarrhoea. Histology showed a normal duodenal epithelium and muscular layer. A duodenocolic fistula is an abnormal connection within the digestive tract, which in humans is usually considered a complication of a local pathological condition. Due to the absence of a predisposing cause and, in view of the dog's age and histological results, a congenital origin was suspected.
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