Retroflexão e evisceração da vesícula urinária decorrente de ruptura dos órgãos genitais em cadela

Coutinho, Bruna Pinto; Labat, Érika; Coutinho, Antonio Soares; Curti, Murilo Cézar; Pirólo, Josmari; Oliveira, Milton Luis Ribeiro de; Souza, Mirian Siliane Batista de

doi:10.1590/s0103-84782013000200020

Cited by 3 publications

(7 citation statements)

References 6 publications

(8 reference statements)

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“…Scott [13] warned that evisceration of intestines through a tear in the dorsal vaginal wall occurs spontaneously in heavily pregnant ewes during the last month of gestation with the incidence between 2 and 5 per cent. Regarding to our presentation, two similar cases have been reported in dogs with transvaginal evisceration after parturition [5,6] . In the first case, a perineal mass containing intestinal loops, bladder and uterine horns was observed immediately after delivery of oversized foetuses resulted from tenesmus and/or due to oversized fetuses [5] .…”

Section: Discussionsupporting

confidence: 70%

“…According to previously articles, it is seen that a large portion of ruptures have been localized on the uterine wall. Meanwhile, limited reports about the complications of the vaginal tear following dystocia in dog [5][6][7] have been reported. Although the surgical approaches were performed immediately in both cases, postoperative prognosis was reported as the poor, with high mortality.…”

Section: Introductionmentioning

confidence: 99%

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Köpekte Nadir Görülen Bir Postpartum Dönem Komplikasyonu: Vaginal Eviserasyon

ERDOĞAN¹,

UÇAR²,

KİBAR³

et al. 2015

Kafkas Univ Vet Fak Derg

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Transvaginal intestinal evisceration was observed in a 4-year-old bitch had given birth to four puppies ten days ago, normally. For treatment, median laparotomy was performed and intestinal loops were reduced via intra-abdominal traction. Intestinal anastomosis was performed on the necrotic part of bowel and the vaginal tear was sutured. According to owner's request, the bitch underwent ovariohysterectomy. The dog was recovered without any complications. The absence of the main etiological factors in this case, suggests the presence of different factors that need to be investigated in the aetiology of the disease. To our knowledge, this case represents the first report of the successful management of transvaginal evisceration in pet practice. Keywords: Vaginal tear, Evisceration, DogKöpekte Nadir Görülen Bir Postpartum Dönem Komplikasyonu:Vaginal Eviserasyon ÖzetOn gün önce normal yolla 4 yavru doğurmuş olan 4 yaşlı bir köpekte transvaginal barsak eviserasyonu görüldü. Tedavi amacıyla median laparatomi uygulandı ve barsak segmenti abdomenden içeriye çekilerek red işlemi gerçekleştirildi. Dışarı çıkan barsak segmentinin nekrotik kısmında anostomoz uygulandı ve vaginal yırtık dikildi. Hasta sahibinin isteği üzerine ovariohisterektomi operasyonu ile hasta kısırlaştırıldı. Köpek herhangi bir komplikasyon oluşmadan iyileşti. Bu hastada vaginal rupturun bilinen nedenlerinin bulunmaması, hastalığın etiyolojisinde araştırılması gereken farklı etmenlerin varlığını düşündürmektedir. Bildiğimiz kadarıyla, bu olgu sunumu pet hekimliğinde başarıyla sağaltılmış ilk transvaginal eviserasyon raporudur.

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Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Köpekte Nadir Görülen Bir Postpartum Dönem Komplikasyonu: Vaginal Eviserasyon

ERDOĞAN¹,

UÇAR²,

KİBAR³

et al. 2015

Kafkas Univ Vet Fak Derg

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“…Escoriações de grau leve a grave, presença de corpos estranhos, fezes, coágulos, retroflexão da bexiga com cistocele e estrangulamento na região vulvar, com consequente dificuldade de circulação sanguínea, podem estar também presentes [2,4,6,14].…”

Section: Discussionunclassified

“…Lacerações do útero exposto, com contaminação secundária da cavidade abdominal, retroflexão da bexiga com possibilidade de evisceração pela laceração do útero, além de hemorragia e trombose estão entre as principais complicações. Quando o diagnóstico é realizado antes do aparecimento das complicações, é possível planejar com maior precisão o procedimento mais adequado para cada caso [2,6].…”

Section: Discussionunclassified

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Hysteropexy in the Treatment of Total Uterine Prolapse in a Brazilian Molosser Bitch

Sampaio

Rezende

Martin

et al. 2019

Acta Scientiae. Vet.

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Background: Uterine prolapse is an obstetric emergency because the exposed tissue can present edema, devitalization or even gangrene, depending on the evolution time and on the severity of circulatory changes. Haemorrhage due to the rupture of ovarian or uterine vessels can evolve rapidly to hypovolemic shock. More rarely, secondary thromboembolism to the uterine strangulation can be developed, complication that can also lead to death. This study reports the case of a Brazilian Molosser bitch treated by reducing total uterine prolapse, complemented with hysteropexy, in order to prevent recurrence and maintain its reproductive ability. Case: A 5-year-old Brazilian Molosser bitch was attended presenting double firm and tubular mass protruding through the vulva. The patient gave birth to five live pups, the last two of which needed to be pulled. Two days after parturition, she had abdominal contraction when a mass protruded from the vagina. A total uterine prolapse was diagnosed, since both uterine horns were found exposed and inverted, with exposition of the endometrium and the areas of placental implantation, together with the body of the uterus. The tissue was apparently edematous and lightly parched, with the presence of strange bodies, but without signals of circulatory complications or lacerations. Due to interest of the guardian in preserving the reproductive ability, an internal reduction via ventral medial celiotomy and the fixation of the uterus in the lateral abdominal wall (hysteropexy) was chosen in order to diminish the possibility of relapse in future parturition. Discussion: The definitive treatment of the uterine prolapse can be realized through ovariohysterectomy when the exposed uterine tissue is highly compromised or there is vessel rupture or no reproductive purpose for the female. The amputation of everted tissue through the vulva is also an option, but the risk of intracavitary bleeding during tissue resection must be considered when the uterine and ovarian artery and vein escape to the interior of the abdomen without according hemostasis. In cases which there are no complications of the prolapsed tissue and is desired to maintain the reproductive ability of the female, the internal reduction with hysteropexy is recommended. As the etiology of the uterine prolapse is a condition bound to several factors, between them multiple pregnancies, relaxation of the uterine ligaments and genetic factors, conditions which can be associated to the cause of the prolapse in the mentioned patient, the hysteropexy was preferred as a complementary technique to uterine preservation and prevention of the prolapse relapse in a possible new parturition. In this case, the reduction of prolapse followed by hysteropexy was preferred, because the female dog was apparently well, without signs of complication of the prolapsed tissue and with satisfactory preoperative evaluation. Adding these to the request of the guardian in maintaining the reproductive ability of the female, since the procedure would not pose as a life...

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Transvaginal uterine evisceration during labor in a Bengal queen

Freire

Diaw

2019

Journal of Feline Medicine and Surgery Open Reports

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Case summary A 2.5-year-old Bengal queen was admitted with a 12-h history of a mass protruding from the vulva during labor. At that time, three healthy kittens had already been delivered. Physical examination identified the mass as a portion of the uterus that was eviscerated without eversion of the mucosa. Exploratory laparotomy revealed a vaginal vault rupture with a large portion of the uterus herniated through the tear and eviscerated through the vulva. Ovariohysterectomy was performed, and a dead fetus was removed with the uterus. Reconstruction of the vaginal rupture required careful dissection and urethral catheterization. The queen recovered without complications. Relevance and novel information Uterine evisceration through a vaginal tear is a very rare condition that sometimes is erroneously referred to as ‘prolapse’. Uterine prolapse and uterine evisceration may have similar presenting signs; however, proper identification and surgical correction is key when the uterus is eviscerated. This case highlights the importance of differentiating these two conditions and of rapid identification and surgical intervention for successful patient survival.

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Retroflexão e evisceração da vesícula urinária decorrente de ruptura dos órgãos genitais em cadela

Abstract: IIIRetroflexão e evisceração da vesícula urinária decorrente de ruptura dos órgãos genitais em cadelaRetroflexion and evisceration of the urinary bladder due to rupture of the genitals organs in bitch

Cited by 3 publications

References 6 publications

Köpekte Nadir Görülen Bir Postpartum Dönem Komplikasyonu: Vaginal Eviserasyon

Köpekte Nadir Görülen Bir Postpartum Dönem Komplikasyonu: Vaginal Eviserasyon

Hysteropexy in the Treatment of Total Uterine Prolapse in a Brazilian Molosser Bitch

Transvaginal uterine evisceration during labor in a Bengal queen

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