Tratamento de estenose pélvica em gato com enxerto heterólogo e colectomia subtotal
Scorsato, Paulo SérgioRahal, Sheila CaneveseTeixeira, Thainan LimaScorsato, Mateus Feital
Background: The management of malunion of pelvic fracture and its complications may require from conservative tosurgical methods, depending on the severity and temporal evolution. Thus, the aim of this present report is to describe thetreatments adopted in a cat with severe pelvic stenosis.Case: An approximately 3-year-old neutered male crossbreed cat, weighing 3 kg, was presented due to difficulty in defecation in the previous eight months. According to its tutor, the cat was adopted one year earlier, with a history of pelvicfracture due to a run over, which had been treated conservatively. The tutor also mentioned that since the appearance ofdyschezia, the cat had only been treated with enemas, but without success. In abdominal palpation, there was presence ofpain and a mass of firm content in descending colon topography. The radiographic examination of the pelvis presentedan exuberant bone callus, characterizing an old fracture, a consolidation with change of bone axis in the right ischium,together with megacolon and fecaloma. It was initially decided that a liquid glycerin-based enema would be performed,in conjunction with clinical treatment with administration of cisapride, dimethicone and lactulose. Although the medicaltreatment initially helped improve the clinical picture, the cat presented fecaloma two months later. Surgical treatment wasthen performed, in which distraction of the pubic symphysis with use of a heterologous cortical bone graft (canine tibiastored in glycerin 98%) was performed, as the tutor was not favorable to colectomy as the first option. However, after onemonth of intervention, despite good evolution, the animal again showed signs of dyschezia. At this point the tutor agreedto colectomy, which was subtotal with preservation of the ileocolic valve.Discussion: The...(AU)
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