Yedi aylık erkek bir kedide iatrojenik üretra perforasyonu olgusu
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Dosyalar
Tarih
2016
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi Veterinerlik Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu olgunun materyalini özel bir veteriner kliniğinde üretral kateterizasyon uygulaması yapılan, daha sonra Selçuk Üniversitesi, Veteriner Fakültesi Hayvan Hastanesine (Konya, Turkiye) idrar yapma güçlüğü şikayeti ile başvurulan yedi aylık erkek bir kedi oluşturdu. Klinik, laboratuar, ultrasonografik ve radyografik bulgular ışığında iatrojenik üretra perforasyonu teşhis edilen olguda, teşhis ve tedavi yaklaşımları değerlendirildi. İştahsızlık, damla tarzında kanlı idrar ve idrar yapmada güçlük şikâyetleri olduğu öğrenilen kedinin fiziksel muayenesinde idrar kesesinde gerginlik ve dehidrasyon tespit edildi. İdrar yolunun açıklığının değerlendirilmesi için üretral kateterizasyon uygulaması yapıldı, fakat idrar çıkışı sağlanamadı. Ultrasonografik muayenede, uygulanan üretral kateter ventral abdominal bölgede görüntülendi, ayrıca idrar kesesi duvarında kalınlaşma ve orta düzeyde dolgunluk gözlendi. Latero-lateral direkt radyografik muayenede idrar kesesinin boş olduğu ve idrar sondasının ventral abdominal boşlukta olduğu gözlendi. Sonuç olarak, iatrojenik üretra perforasyonu ön tanısı ile deneysel laparatomiye karar verildi. Operasyonda penil üretrada şiddetli hasar ve ruptur tespit edildi. İdrar kesesi karın duvarına drene edilerek idrar akışı sağlandı. Operasyon sonrası sonda aracılığıyla idrar çıkışının başladığı görüldü.
Seven-month-old male cat which had been applied an urethral catheterization in a private vet clinic was referred with anemnesis of dysuria to the Animal Hospital, University of Selcuk, Konya-Turkey. In this report, diagnostic and therapeutic approaches of iatrogenic urethral perforation which was defined on the basis of clinical, laboratory, radiographic and ultrasound findings in a male cat were evaluated. In the physical examination of the cat suffering from loss of apetite, dripping bloody urination and dysuria, dehydration and bladder distention were observed. The catheterization was performed to evaluate urinary outflow in our clinics, but urine output was not achieved. In the ultrasound examination, it was observed that the urinary catheter was located in ventral abdominal area and the thickening of bladder wall and also the bladder was observed as empty. Urinary catheter was viewed in ventral abdominal area in latero-lateral direct radiographic examination. In conclusion, it was decided to do experimental laparotomy due to pre-diagnosis of iatrogenic urethral perforation. Severe urethral injury and rupture were determined in penil urethral area, and urinary diversion was achieved by tube application from bladder to abdominal wall. After operation, the urinary output via tube was seen.
Seven-month-old male cat which had been applied an urethral catheterization in a private vet clinic was referred with anemnesis of dysuria to the Animal Hospital, University of Selcuk, Konya-Turkey. In this report, diagnostic and therapeutic approaches of iatrogenic urethral perforation which was defined on the basis of clinical, laboratory, radiographic and ultrasound findings in a male cat were evaluated. In the physical examination of the cat suffering from loss of apetite, dripping bloody urination and dysuria, dehydration and bladder distention were observed. The catheterization was performed to evaluate urinary outflow in our clinics, but urine output was not achieved. In the ultrasound examination, it was observed that the urinary catheter was located in ventral abdominal area and the thickening of bladder wall and also the bladder was observed as empty. Urinary catheter was viewed in ventral abdominal area in latero-lateral direct radiographic examination. In conclusion, it was decided to do experimental laparotomy due to pre-diagnosis of iatrogenic urethral perforation. Severe urethral injury and rupture were determined in penil urethral area, and urinary diversion was achieved by tube application from bladder to abdominal wall. After operation, the urinary output via tube was seen.
Açıklama
Anahtar Kelimeler
İatrojenik üretra perforasyonu, ultrasonografi, radyografi, erkek kedi, Iatrogenic uretral perforation, ultrasonography, radiography, male cat
Kaynak
Eurasian Journal of Veterinary Sciences
WoS Q Değeri
Scopus Q Değeri
Cilt
32
Sayı
2
Künye
Maden, M., İzci, C., Gülersoy, E., Parlak, K., (2016). Yedi aylık erkek bir kedide iatrojenik üretra perforasyonu olgusu. Eurasian Journal of Veterinary Sciences, 32 (2), 120-125. DOI: 10.15312/EurasianJVetSci.2016215522
