Ober Ciprian-Andrei, Peștean Cosmin Petru, Bel Lucia Victoria, Taulescu Marian, Cătoi Cornel, Bogdan Sidonia, Milgram Joshua, Schwarz Guenter, Oana Liviu Ioan
Department of Surgery, University of Agricultural Sciences and Veterinary Medicine, 3-5 Mănăştur Street, 400372, Cluj-Napoca, Romania.
Department of Anesthesiology and Intensive Care, University of Agricultural Sciences and Veterinary Medicine, 3-5 Mănăştur Street, 400372, Cluj-Napoca, Romania.
Acta Vet Scand. 2016 Sep 22;58(1):54. doi: 10.1186/s13028-016-0235-2.
True vaginal prolapse is a rare condition in dogs and it is occasionally observed in animals with constipation, dystocia, or forced separation during breeding. If a true prolapse occurs, the bladder, the uterine body and/or distal part of the colon, may be present in the prolapse.
A 2-year-old intact non pregnant Central Asian Shepherd dog in moderate condition, was presented for a true vaginal and rectal prolapse. The prolapses were confirmed by physical examination and ultrasonography. Herniation of the urinary bladder was identified within the vaginal prolapse. The necrotic vaginal wall was resected, the urinary bladder was reduced surgically and fixed to the right abdominal wall to prevent recurrence. Rectal resection and anastomosis was necessary to correct the rectal prolapse. Recurrence of the prolapses was not observed and the dog recovered completely after the surgical treatment.
In our opinion, extreme tenesmus arising from constipation may have predisposed to the vaginal prolapse with bladder incarceration and secondarily to rectal prolapse. In the young female dog, true vaginal prolapse with secondary involvement of the urinary bladder and irreducible rectal prolapse is an exceptionally rare condition.
真性阴道脱垂在犬类中是一种罕见病症,偶尔见于便秘、难产或配种时强制分离的动物。若发生真性脱垂,脱垂物中可能存在膀胱、子宫体和/或结肠远端。
一只2岁、体况中等的未孕纯种中亚牧羊犬因真性阴道和直肠脱垂前来就诊。通过体格检查和超声检查确诊为脱垂。在阴道脱垂物中发现膀胱疝出。切除坏死的阴道壁,手术还纳膀胱并固定于右腹壁以防止复发。为矫正直肠脱垂,需进行直肠切除和吻合术。术后未观察到脱垂复发,该犬经手术治疗后完全康复。
我们认为,便秘引起的极度里急后重可能是导致阴道脱垂伴膀胱嵌顿继而直肠脱垂的诱因。在年轻母犬中,真性阴道脱垂伴膀胱继发性受累及不可回纳性直肠脱垂是一种极其罕见的病症。