ABSTRACT
Introdução: A peritonite consiste em inflamação do peritônio, com classificação variável em relação à origem, ao grau de contaminação e à extensão (localizada ou difusa). A perda da integridade da parede intestinal corresponde à maioria dos casos de peritonite bacteriana nos cães e gatos. Geralmente, a apresentação é aguda em casos de peritonite séptica e crônica na peritonite não séptica. No caso de peritonite séptica, os sinais clínicos constam de desconforto abdominal, letargia, anorexia, perda de peso, vômito, diarréia, distensão abdominal, icterícia variável e colapso. O objetivo deste trabalho é relatar um caso de peritonite séptica secundária à enterotomia em felino.Caso: Um felino, fêmea, castrado, de aproximadamente um ano de idade, foi atendido no Hospital de Clínicas Veterinárias da Universidade Federal do Rio Grande do Sul (HCV-UFRGS), com histórico de ter sido submetida à enterotomia em outro estabelecimento veterinário, devido à formação de fecaloma, uma semana prévia à consulta ao HCV-UFRGS. Os proprietários relataram que alguns dias após o procedimento o animal apresentou-se prostrado, anoréxico e constipado. No exame físico, apresentou dor aguda à palpação abdominal, além de abdômen distendido, dispnéia, mucosas hipocoradas, desidratação e temperatura retal de 39,4C. Os exames de sangue revelaram anemia leve (23%) normocrômica normocítica, leucopenia, hipoprot
ABSTRACT
Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A five-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identified around the bladder and kidneys using the ultrasound exam. Intense hemorrhage from uterine vessels was found during celiotomy. A nylon tie-rap was found loose on the abdominal cavity and another couple were found at both ovaries surrounded by fibrous tissue adherence. Bilateral ovariectomy with nylon 2-0 was performed and a blood transfusion was necessary. 3- A three-years-old bitch was admitted at the HCV-UFRGS six days after OVH performed at another institution, presenting suture dehiscence and evisceration. During emergency surgery, bladder, intestine and musculature necrosis due to the contact with sharp edged nylon tie-raps (prior placed as hemostatic devices), intense fibrous tissue adherence and peritonitis were identified. 4- A two-years-old bitch was referred to the HCV-UFRGS one year after OVH performed elsewhere, with a four-month p
Background: Routine neutering of bitches is typically carried out by ovariohysterectomy (OVH) in Veterinary Medicine, seen by many as a simple procedure. During the conventional approach the points of attachment of the uterus and ovaries are double ligated with absorbable or non-absorbable sutures or even with titanium clamps. It has been described the use of non-surgical polyamide tie-raps as a hemostatic closure method by some authors but there are few papers describing the consequenses of such use. The aim of this study is to report four cases of surgical complications associated with nylon tie-raps use on OVHs on bitches referred to the Veterinary Teaching Hospitals of the Federal University of Rio Grande do Sul (HCV-UFRGS) and Passo Fundo University (HV-UPF), both at the State of Rio Grande do Sul.Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A fi ve-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identifi ed around the bladder and kidneys using t
ABSTRACT
Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A five-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identified around the bladder and kidneys using the ultrasound exam. Intense hemorrhage from uterine vessels was found during celiotomy. A nylon tie-rap was found loose on the abdominal cavity and another couple were found at both ovaries surrounded by fibrous tissue adherence. Bilateral ovariectomy with nylon 2-0 was performed and a blood transfusion was necessary. 3- A three-years-old bitch was admitted at the HCV-UFRGS six days after OVH performed at another institution, presenting suture dehiscence and evisceration. During emergency surgery, bladder, intestine and musculature necrosis due to the contact with sharp edged nylon tie-raps (prior placed as hemostatic devices), intense fibrous tissue adherence and peritonitis were identified. 4- A two-years-old bitch was referred to the HCV-UFRGS one year after OVH performed elsewhere, with a four-month p
Background: Routine neutering of bitches is typically carried out by ovariohysterectomy (OVH) in Veterinary Medicine, seen by many as a simple procedure. During the conventional approach the points of attachment of the uterus and ovaries are double ligated with absorbable or non-absorbable sutures or even with titanium clamps. It has been described the use of non-surgical polyamide tie-raps as a hemostatic closure method by some authors but there are few papers describing the consequenses of such use. The aim of this study is to report four cases of surgical complications associated with nylon tie-raps use on OVHs on bitches referred to the Veterinary Teaching Hospitals of the Federal University of Rio Grande do Sul (HCV-UFRGS) and Passo Fundo University (HV-UPF), both at the State of Rio Grande do Sul.Cases: 1- An eleven-month-old bitch was admitted at the HV-UPF nine days after OVH performed elsewhere, with omentum evisceration due to suture dehiscence. During emergency surgery both ovaries were found surrounded by nylon tie-raps and fi brous tissue adherence. Peritonitis signs were recognizable. Bilateral ovariectomy with nylon 2-0 was performed and the remaining uterus was removed. 2- A fi ve-years-old bitch was referred to the HV-UPF ten days after OVH performed elsewhere, with apathy and suture dehiscence. Free liquid was identifi ed around the bladder and kidneys using t
ABSTRACT
Introdução: A peritonite consiste em inflamação do peritônio, com classificação variável em relação à origem, ao grau de contaminação e à extensão (localizada ou difusa). A perda da integridade da parede intestinal corresponde à maioria dos casos de peritonite bacteriana nos cães e gatos. Geralmente, a apresentação é aguda em casos de peritonite séptica e crônica na peritonite não séptica. No caso de peritonite séptica, os sinais clínicos constam de desconforto abdominal, letargia, anorexia, perda de peso, vômito, diarréia, distensão abdominal, icterícia variável e colapso. O objetivo deste trabalho é relatar um caso de peritonite séptica secundária à enterotomia em felino.Caso: Um felino, fêmea, castrado, de aproximadamente um ano de idade, foi atendido no Hospital de Clínicas Veterinárias da Universidade Federal do Rio Grande do Sul (HCV-UFRGS), com histórico de ter sido submetida à enterotomia em outro estabelecimento veterinário, devido à formação de fecaloma, uma semana prévia à consulta ao HCV-UFRGS. Os proprietários relataram que alguns dias após o procedimento o animal apresentou-se prostrado, anoréxico e constipado. No exame físico, apresentou dor aguda à palpação abdominal, além de abdômen distendido, dispnéia, mucosas hipocoradas, desidratação e temperatura retal de 39,4C. Os exames de sangue revelaram anemia leve (23%) normocrômica normocítica, leucopenia, hipoprot