一只患有难产的狗因自发性膀胱破裂而继发尿腹症。

IF 1.1 3区 农林科学 Q3 VETERINARY SCIENCES Journal of veterinary emergency and critical care Pub Date : 2024-08-26 DOI:10.1111/vec.13415
Sukjung Lim DVM, Geoffrey Stuart Hennig DVMMS, DACVS, Alicia Niedzwecki DVM, DACVECC, Igor Yankin DVM, DACVECC
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引用次数: 0

摘要

目的:描述一只患有难产的犬因自发性膀胱破裂而发生尿崩症的情况:病例摘要:一只两岁大的完好无损的雌性波士顿梗犬因产程延长 72 小时而被转诊。就诊时,该犬已在家中产下 8 只幼犬,最后一只幼犬胎死腹中。该犬处于低血容量休克状态,并有游离性腹腔积液。腹部 X 光片显示没有剩余胎儿的迹象。腹腔积液分析显示,积液中的血钾是外周血钾的 1.8 倍。逆行造影剂阳性膀胱造影发现造影剂渗入腹腔,与膀胱破裂引起的尿腹症一致。血常规异常包括轻度单核细胞白细胞左移、中度氮质血症、轻度高胆红素血症、碱性磷酸酶活性轻度升高、中度低钠血症和中度低氯血症。出于对化脓性腹膜炎和败血症的担忧,医生对该犬进行了静脉输液抢救,并静脉注射了抗菌素。探查性开腹手术发现了中等量的腹腔积液、子宫增大(无法辨认胎儿)以及膀胱壁顶端的小破裂。对膀胱壁缺损进行了修补,并对该犬进行了卵巢切除术。围手术期使用去甲肾上腺素恒速输注治疗全身性低血压,并在 24 小时内缓解。该犬 5 天后出院。腹腔液和子宫液的联合培养和药敏试验显示,该犬感染了肠球菌属和假中间葡萄球菌,这两种球菌对阿莫西林/克拉维酸和恩诺沙星均敏感。膀胱壁组织病理学检查显示有严重的壁层充血、水肿和出血,但没有肿瘤、膀胱炎或尿路结石的证据:这是首例因膀胱壁破裂并伴有子宫收缩而继发尿崩症的病例报告。要想获得良好的预后和治疗效果,及早发现这种罕见现象并保持警惕至关重要。
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Uroabdomen secondary to spontaneous bladder rupture in a dog with dystocia

Objective

To describe the development of uroabdomen secondary to spontaneous bladder rupture in a dog with dystocia.

Case Summary

A 2-year-old intact female Boston Terrier was referred for prolonged labor of 72 hours. At presentation, the dog had delivered 8 puppies at home, with the last pup being stillborn. The dog was in hypovolemic shock and had free abdominal effusion. Abdominal radiographs showed no evidence of remaining fetuses. Abdominal fluid analysis revealed a fluid potassium that was 1.8 times higher than the peripheral blood potassium. Retrograde positive contrast cystography identified leakage of contrast into the abdomen, consistent with uroabdomen secondary to bladder rupture. Bloodwork abnormalities included a mild monocytic leukocytosis with a left shift, moderate azotemia, mild hyperbilirubinemia, mild increase of alkaline phosphatase activity, moderate hyponatremia, and moderate hypochloremia. The dog was resuscitated with IV fluids and received IV antimicrobials out of concerns for septic peritonitis and sepsis. An exploratory laparotomy revealed a moderate volume abdominal effusion, uterine enlargement with no identifiable fetuses, and a small rupture of the urinary bladder wall apex. The bladder wall defect was repaired, and the dog underwent an ovariohysterectomy. Perioperative systemic hypotension was treated with a norepinephrine constant rate infusion and resolved within 24 hours. The dog was discharged 5 days later. The combined peritoneal fluid and uterine fluid culture and sensitivity testing revealed Enterococcus spp. and Staphylococcus pseudintermedius, both susceptible to amoxicillin/clavulanic acid and enrofloxacin. Bladder wall histopathology revealed severe mural congestion, edema, and hemorrhage, without evidence of neoplasia, cystitis, or urolithiasis.

Unique Information Provided

This is the first case report of a dog with uroabdomen secondary to a bladder wall rupture associated with dystocia. Early recognition of this rare phenomenon and vigilance in treatment is essential for a good prognosis and outcome.

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来源期刊
CiteScore
2.50
自引率
15.40%
发文量
121
审稿时长
18-36 weeks
期刊介绍: The Journal of Veterinary Emergency and Critical Care’s primary aim is to advance the international clinical standard of care for emergency/critical care patients of all species. The journal’s content is relevant to specialist and non-specialist veterinarians practicing emergency/critical care medicine. The journal achieves it aims by publishing descriptions of unique presentation or management; retrospective and prospective evaluations of prognosis, novel diagnosis, or therapy; translational basic science studies with clinical relevance; in depth reviews of pertinent topics; topical news and letters; and regular themed issues. The journal is the official publication of the Veterinary Emergency and Critical Care Society, the American College of Veterinary Emergency and Critical Care, the European Veterinary Emergency and Critical Care Society, and the European College of Veterinary Emergency and Critical Care. It is a bimonthly publication with international impact and adheres to currently accepted ethical standards.
期刊最新文献
Fabio Viganó Jennifer J. Devey Issue Information - Prelim AUTHOR INDEX Abstracts from the International Veterinary Emergency and Critical Care Symposium and the European Veterinary Emergency and Critical Care Annual Congress 2024
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