Uroabdomen secundario a ruptura vesical por traumatismo cerrado de abdomen en un felino.

Abstract

Bladder rupture is common in veterinary medicine, most often as a result of trauma to the abdomen or pelvis, resulting in rupture and leakage of bladder content (urine), which would lead to the patient presenting a uroabdomen and after this have metabolic and systemic disorders that can cause death. Patient admitted to the emergency room at the catdog hospital, a short-haired male feline named coko arias, the owner reports that she sat on him by mistake, the cat complained and vomited; decided to take him immediately to the veterinary medical center. An exhaustive clinical examination was carried out on the patient, where abdominal pain was evidenced, saturation was measured, which was in the normal range, normal arterial pressures, the ecofast showed slight free liquid and urinary bladder injury, which are compatible with uroperitoneum, therefore She was referred for specialized ultrasound and had tearing in her right eye. Blood samples were taken for complete blood count, leukogram, and preoperative profile, feline serum amyloid, and arterial blood samples to measure blood gases. According to the results of the ultrasound, the decision is made to perform an exploratory laparotomy and after this, enter hospitalization and apply a therapeutic plan in terms of antibiotic, analgesic, anti-inflammatory management and regulation of acid-base balance. It is important to evaluate the urinary tract in patients who arrive with abdominal trauma, since it is a frequent factor in day-to-day consultations in the clinic for children, and good therapeutic management must be carried out, since they are patients who arrive with balance disorders. acid-base, with a lot of pain and with uroabdomen that would lead us to be able to complicate it with peritonitis, therefore the establishment and proper management of antibiotics is really important.