Caso clínico. Uraco persistente en potra de 6 días de nacida.

Abstract

Persistent urachus is considered one of the most common pathologies of the urogenital system, which consists in the fact that the duct (urachus) through which fetal fluids are eliminated does not close after birth, producing a distension of the bladder, causing the exit urine through the umbilical stump, this condition can be congenital or acquired, the most characteristic clinical sign of persistent urachus is that foals have constantly moistened the navel, due to urine loss through it. The most important test is the umbilical ultrasound, in addition to being used as a diagnostic test, it is also advisable to repeat several ultrasounds during the treatment to verify that it is being correct. Surgical treatment consists of performing an omphalectomy or complete resection of the the structures of the umbilical remnant. In the present report, the clinical case of a filly that arrives at the Equine Hospital Internal at 6 days after birth is evidenced, a clinical examination is performed, where it is evident that she presents weakness, 8% dehydration, with marked sepsis, presents corneal ulcers and diarrhea, after which diagnostic tests are performed; Among them, a complete blood count (white blood cells, red blood cells, plasma proteins and platelet count) and specific tests such as abdominal ultrasound and fluorescein test were requested, with this it was possible to determine the presence of clear signs of persistent urachus and corneal ulcers. bilateral. For this reason, the establishment of a surgical treatment will be prolonged, where the patient is performed a retraction of the remaining urachal towards the caudal, in addition to this, treatment was established to control symptoms, obtaining a favorable evolution of the patient.