CORRECT!

          

The uniform distention of the entire intestinal tract with the stomach in the normal position makes mesenteric torsion the most likely diagnosis and differentiates it from all other possible conditions.

Diagram courtesy of Ms. Karen Meltzer, University of Pennsylvania School of Veterinary Medicine.

Mesenteric torsion is a rare and usually fatal condition in which the bowel twists on its mesenteric axis, resulting in a strangulating mechanical obstruction of the small intestine and compression of the cranial mesenteric artery and its branches.  This eventually leads to ischemic necrosis of the distal duodenum, jejunum, ileum, cecum, ascending colon, and proximal descending colon.


NOW WHAT DO YOU DO?
Please click on an option.
 

a. Try to stabilize Sherlock with I.V. fluids and blood products over the course of the next several hours before doing an exploratory laparotomy.
b. Rush Sherlock to surgery and perform an exploratory laparotomy immediately.
c. Treat Sherlock's condition medically with antacids.
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Copyright 2002 University of Pennsylvania School of Veterinary Medicine
VHUP Department of Clinical Studies
Student Web Designers: Srinivas Lingareddy, V'03 (2001) and Karen O'Connor, V'04 (2002)