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Urethrolithiasis and nephrolithiasis in a horse.
1Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan S7N 5B4.
The Canadian Veterinary Journal = La Revue Veterinaire Canadienne
|November 16, 2001
Summary
A quarter horse experienced worsening sepsis after surgery for obstructive urethrolithiasis. Postmortem examination revealed bladder rupture and a kidney stone, indicating complications from the equine urinary tract obstruction.
Area of Science:
- Veterinary Medicine
- Equine Surgery
- Urology
Background:
- Obstructive urethrolithiasis is a serious condition in horses.
- Surgical intervention, such as perineal urethrostomy, is a treatment option.
- Complications can arise, leading to severe outcomes.
Observation:
- A 9-year-old quarter horse gelding presented with obstructive urethrolithiasis.
- The horse underwent a perineal urethrostomy.
- Post-surgery, the horse's condition rapidly deteriorated.
Findings:
- Abdominocentesis confirmed septic uroperitonitis, indicating widespread infection within the abdominal cavity.
- Euthanasia was performed due to the severe deterioration.
- Postmortem examination identified peritonitis, a tear in the bladder's lateral wall, and a left renal pelvis nephrolith.
Implications:
- This case highlights the potential for severe complications following surgical treatment of equine urethral stones.
- Bladder integrity and the presence of concurrent kidney stones are critical factors to consider in cases of obstructive urethrolithiasis.
- Early recognition and management of complications like septic uroperitonitis are crucial for equine surgical outcomes.