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玩具贵宾犬尿石症的诊断与治疗。

Diagnosis and treatment of urolithiasis in a Toy Poodle dog.

机构信息

Department of Internal Medicine, Faculty of Veterinary Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Prof. Soeparwi Animal Hospital, Faculty of Veterinary Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Open Vet J. 2024 Mar;14(3):937-940. doi: 10.5455/OVJ.2024.v14.i3.23. Epub 2024 Mar 31.

DOI:10.5455/OVJ.2024.v14.i3.23
PMID:38682149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11052625/
Abstract

BACKGROUND

Urolithiasis in dogs is a disorder of the urinary tract caused by the development of crystals. These crystals are composed of minerals such as phosphates, oxalates, urates, cystine, carbonates, and silica. It can be fatal if the diagnosis and treatment are inaccurate. This report aims to report a case of urolithiasis in a Toy Poodle dog.

CASE DESCRIPTION

A 2-year-old male Toy Poodle dog weighing 4.2 kg with black hair, and having trouble urinating was presented to Prof. Soeparwi Animal Hospital, Universitas Gadjah Mada, Indonesia. The dog is examined physically and, in the laboratory, diagnosed and continued with operative therapy. The history and physical examination revealed that the dog had been experiencing hematuria, stranguria, and oliguria for 2 months, with the last few days accompanied by decreased appetite. The dog exhibited decreased skin turgor, a capillary refill time (CRT) of less than 2 seconds, signs of pain and distress during urination, and palpation of distended urinary vesicles. Ultrasound scans revealed uroliths in the urinary vesica, which were identified by an acoustic shadow. Blood tests indicated a decrease in hematocrit and erythrocytes along with an increase in leukocytes. Urolithiasis was diagnosed in the case dog based on anamnesis, physical examination, hematological examination, and ultrasonography. Subsequently, a cystotomy was performed, and uroliths located in urinary vesicles were removed. The dog received ceftriaxone injections at 15 mg/kg body weight and vitamin B-complex injections at a concentration of 10 mg/kg body weight for 5 days. Four days post-surgery, the case dog was able to successfully urinate and pass clean urine.

CONCLUSION

The Toy Poodle dog was diagnosed with silica urolithiasis in the urinary vesicles and the urolith is quite large. Cystotomy was performed to remove the urolith. Postoperative care were included the administration of antibiotics and vitamins to facilitate the healing process. The condition of the Poodle toy dog improved.

摘要

背景

犬尿石症是一种由晶体形成引起的尿道疾病。这些晶体由磷酸盐、草酸盐、尿酸盐、胱氨酸、碳酸盐和二氧化硅等矿物质组成。如果诊断和治疗不准确,可能会致命。本报告旨在报告一例玩具贵宾犬尿石症病例。

病例描述

一只 2 岁雄性玩具贵宾犬,体重 4.2 公斤,黑色毛发,排尿困难,被带到印度尼西亚加贾马达大学 Soeparwi 教授动物医院就诊。对该犬进行了体格检查,在实验室进行了诊断并继续进行手术治疗。病史和体格检查显示,该犬已出现血尿、排尿困难和少尿 2 个月,最近几天伴有食欲下降。该犬皮肤弹性下降,毛细血管再充盈时间(CRT)小于 2 秒,排尿时出现疼痛和不适的迹象,触诊有膨胀的膀胱。超声扫描显示膀胱中有尿石,并有声影。血液检查表明红细胞压积和红细胞减少,白细胞增多。根据病史、体格检查、血液检查和超声检查,诊断该犬患有尿石症。随后进行了膀胱切开术,取出了位于膀胱中的尿石。该犬接受了头孢曲松 15mg/kg 体重和维生素 B 复合物 10mg/kg 体重的注射,连续 5 天。手术后 4 天,该犬成功排尿并排出清洁尿液。

结论

玩具贵宾犬被诊断为膀胱内二氧化硅尿石症,且结石较大。进行了膀胱切开术以取出结石。术后护理包括给予抗生素和维生素以促进愈合过程。玩具贵宾犬的病情有所改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a1/11052625/96fdcb21f0d3/OpenVetJ-14-937-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a1/11052625/a735c1b5e831/OpenVetJ-14-937-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a1/11052625/96fdcb21f0d3/OpenVetJ-14-937-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a1/11052625/a735c1b5e831/OpenVetJ-14-937-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a1/11052625/96fdcb21f0d3/OpenVetJ-14-937-g002.jpg

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Laparoscopic-assisted cystotomy for urolith removal in dogs and cats - 23 cases.
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