Tratamiento exitoso de un cuerpo extraño urinario mediante cistotomía en un gato

Abstract

Objetivo. El objetivo de este estudio fue presentar los métodos de diagnóstico y tratamiento de un gato con hematuria y estranguria al que se le diagnosticó un cuerpo extraño dentro de la vejiga urinaria. Materiales y métodos. Un gato macho castrado de raza mixta de 1 año de edad se presentó con polaquiuria y hematuria. El examen abdominal reveló una vejiga urinaria contráctil y dolorosa. Resultados. El examen ecográfico abdominal demostró un cuerpo extraño lineal (sonda urinaria) en la luz de la vejiga. Se realizó una cistotomía de línea media estándar y se extrajo un catéter urinario de 6 cm de largo de la vejiga. El gato se recuperó sin problemas. La presencia de cuerpos extraños en la vejiga urinaria es rara en la práctica veterinaria. Conclusiones. El examen ecográfico de la vejiga urinaria proporciona información valiosa sobre la cistitis relacionada con cuerpos extraños en los gatos.

Feline urethral obstruction secondary to a ballistic foreign object

“…Thus, early surgical intervention is recommended in cases like this. [13][14][15][16] This case report describes an unusual aetiology for urethral obstruction in cats. Diagnostic imaging should always be recommended and pursued in feline patients with urethral obstruction, to evaluate for underlying aetiologies such as a foreign object.…”

“…13 However, other foreign objects have been reported in the urinary bladders of veterinary patients including grass awns, hair foreign body, sewing needle and fragments of a previous urinary catheter. [8][9][10][11][12]14 In these cases, the majority of the patients were experiencing clinical signs of lower urinary tract disease such as stranguria, haematuria, pollakiuria and abdominal pain. The treatment of choice was surgical removal of the intravesicular foreign object.…”

“…[5][6][7] Foreign objects in the urinary bladder are infrequently reported in cats or dogs and can range from an incidental finding on imaging or as the primary cause of disease in that patient. [8][9][10][11][12][13][14] Foreign objects can cause direct irritation to the bladder mucosa, or can serve as a nidus for secondary infection, leading to exacerbation of urinary tract morbidity. Foreign objects reported in the urinary bladder of dogs and cats include hair, grass awns, urinary catheters and a bullet.…”

“…Foreign objects reported in the urinary bladder of dogs and cats include hair, grass awns, urinary catheters and a bullet. [8][9][10][11][12][13][14] Although diagnostic imaging is part of the recommended diagnostic workup for cats with lower urinary tract signs or urethral obstruction, it may not always be pursued in cases of financial limitations or placed lower on the diagnostic priority list due to the lower incidence of stones or foreign bodies as an underlying cause. 2,3,[5][6][7] This case report describes the extremely rare occurrence of a ballistic foreign object in the urinary bladder that led to urethral obstruction in a cat.…”

“…Foreign objects can cause direct irritation to the bladder mucosa, or can serve as a nidus for secondary infection, leading to exacerbation of urinary tract morbidity. Foreign objects reported in the urinary bladder of dogs and cats include hair, grass awns, urinary catheters and a bullet 8–14 . Although diagnostic imaging is part of the recommended diagnostic workup for cats with lower urinary tract signs or urethral obstruction, it may not always be pursued in cases of financial limitations or placed lower on the diagnostic priority list due to the lower incidence of stones or foreign bodies as an underlying cause 2,3,5–7 …”