Uroabdomen por rotura vesical y hallazgo incidental de rotura diafragmática.

Abstract

A 2-year-old male feline was taken to the Veterinary Animal Center (CVAC), whose owner reported that the feline came home with respiratory distress and vomited. On clinical examination, the patient presented hypothermia, posterior train prostration, non-responsive pupils, dyspnea, subcutaneous emphysema, and capillary filling time greater than 3 seconds. We proceeded with an A-FAST ultrasound in which there was no evidence of fluid in the abdomen and a small bladder. Complementary tests were taken such as a blood count and blood chemistry, which were in their normal ranges. A follow-up ultrasound was carried out the following day, in which the presence of free fluid in the abdomen was observed. A puncture and collection of abdominal fluid was performed to make a creatinine of it, in addition a blood sample was collected for a blood chemistry (creatinine). A comparative analysis of the results was carried out. As a complementary test, an excretory urography was performed where it was evidenced that there was a leakage of urine through the bladder. Therefore, it was decided to enter emergency surgery to correct the bladder rupture. For this, a laparotomy with cystorraphy was performed, correcting the injury in the bladder by suturing it. When exploring the abdominal cavity, the presence of one more lesion in the diaphragm was observed, in which there was a loss of continuity of the diaphragmatic muscle and a communication towards the thoracic cavity, which was immediately corrected. Post-surgical management was carried out without major complications and was based on constant monitoring of vital signs. Urine production was verified, relying on ultrasonography, where it was evidenced a correct functioning of the bladder and urine production, and in addition an in-hospital management was carried out with antibiotic therapy, analgesia, liver protectors, and antioxidant medications. He was discharged after 8 days of recovery and after the antibiotic treatment was finished, later the patient returned for a control evaluation in which the evolution and recovery of the patient was evidenced without abnormalities.