摘要

This report is the first describing repair of the bladder without an abdominal incision or incision into the urethral sphincter. This greatly reduces the chance of possible complications such as urine pooling after surgery with the previously described standing technique or bladder trauma due to traction with abdominal surgery.Urinary bladder rupture in the adult mare is rare, but has been reported to occur associated with parturition [5,3]. Higuchi [3] estimated the occurrence of this condition at approximately one in 10,000 births. Repair via celiotomy has been described, but it can be difficult to exteriorise the bladder sufficiently, particularly in the case of caudal or dorsal tears. Previous standing techniques have involved approaching the bladder via urethrotomy [5] or using a urethral sphincterotomy to place a hand into the bladder [3]. Here, we describe a non-invasive urethral approach that was successfully used to repair a 10 cm tear in a postparturient mare.An 11-year-old thoroughbred mare was referred with suspected peritonitis or ruptured bladder. The mare had foaled uneventfully 36 hours previously and since then had been depressed, had experienced mild colic and had developed a swollen abdomen. On arrival, the mare was mildly uncomfortable with a heart rate of 72 beats/min, respiratory rate 12 breaths/min and rectal temperature 38.1~C. Mucous membranes were pink and CRT was less than two seconds. Gastrointestinal borborygmi were reduced in all quadrants. On examination per rectum, thickened small intestine could be palpated. Vaginal examination was normal. Trans-abdominal ultrasonography demonstrated free fluid in the peritoneal cavity and some thickened loops of small intestine.Analysis of the peritoneal fluid showed: a nucleated cell count count of 23.8 ℅ 109/L; 76.9% neutrophils; 16.8% lymphocytes; 8.3% monocytes; a total protein concentration of 16 g/L; and, a creatinine concentration of 1600 米mol/L. The plasma creatinine concentration was 395 米m

  • 出版日期2009

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