RESUMO
This case report describes the successful treatment of a Persian cat diagnosed with intra-abdominal fungal pseudomycetoma causing hypercalcaemia and constipation due to an extra-luminal mechanical obstruction of the colon. Treatment included surgical excision, supportive care and itraconazole for 6 months.
Assuntos
Doenças do Gato/diagnóstico , Constipação Intestinal/veterinária , Hipercalcemia/veterinária , Micoses/veterinária , Animais , Antifúngicos/administração & dosagem , Antifúngicos/uso terapêutico , Doenças do Gato/tratamento farmacológico , Doenças do Gato/cirurgia , Gatos , Constipação Intestinal/etiologia , Hipercalcemia/etiologia , Itraconazol/administração & dosagem , Itraconazol/uso terapêutico , Masculino , Micoses/complicações , Micoses/tratamento farmacológico , Micoses/cirurgiaRESUMO
OBJECTIVE: To examine if the tension at the site of a urethral anastomosis can be relieved by performing either a crural release technique or an ischial osteotomy technique. STUDY DESIGN: Cadaveric study and 2 case reports. ANIMALS: Adult male cat cadavers (n = 18). METHODS: Cats were divided into 2 groups; crural release (n = 9) and ischial osteotomy (n = 9). In each group, 20%, 25%, and 30% of the pelvic urethra was excised in 3 cats. The length of the urethral defect was measured after excision of the urethral segment, and after approximation, before and subsequent to the tension relieving technique performed. Two clinical cases are described. RESULTS: Both crural release and ischial osteotomy were effective in relieving the tension encountered at the urethral anastomosis after removal of 20% of the urethral length. In the ischial osteotomy group, apposition without tension after removing up to 30% of the intrapelvic urethral length was easily achieved. A similar technique was successfully used in 2 clinical cases. CONCLUSION: Crural release and ischial osteotomy techniques allow approximation and tension free anastomosis of large segmental defects of the pelvic urethra in cats.
Assuntos
Gatos/cirurgia , Ísquio/cirurgia , Uretra/lesões , Uretra/cirurgia , Procedimentos Cirúrgicos Urológicos Masculinos/veterinária , Anastomose Cirúrgica/métodos , Anastomose Cirúrgica/veterinária , Animais , Fenômenos Biomecânicos , Cadáver , Masculino , Osteotomia/veterinária , Ruptura/cirurgia , Ruptura/veterinária , Procedimentos Cirúrgicos Urológicos Masculinos/métodosRESUMO
A 2-month-old, intact, female domestic shorthair kitten presented with a history of acute-onset dyspnoea. Severe dyspnoea and tachypnoea were noted on physical examination. Serosanguinous fluid, consistent with a modified transudate, was aspirated from the pleural cavity immediately after the physical examination, with an immediate decrease in respiratory rate and effort. The thorax was radiographed and the entire left hemithorax appeared to be filled with a large soft tissue density mass. Thoracic ultrasound was performed and a cystic structure, measuring 3.0 cm × 1.5 cm, was seen in the left hemithorax. An explorative thoracotomy was performed and a mass obliterating the left hemithorax was found. The mass was removed by a combination of blunt and sharp dissection. A final diagnosis of thoracic pseudocyst was made on histological examination of the tissue. The mass was described as a sterile process characteristic of an organised seroma or haematoma. Recovery from surgery was uneventful and the kitten was discharged 48 h postoperatively. The kitten was still alive with no recurrence of clinical signs at the time of writing this report, 8 months postoperatively.