RUPTURA DE BEXIGA CONSEQUENTE A UROLITÍASE EM CADELA: RELATO DE CASO

Luane de Macêdo e  Silva; Indiana Lua Mendes  Araujo; Vanessa Saraiva  Sousa; Jacqueline Maria Canuto De  Sousa; Alana Larissa Ximenes  Silva

doi:10.51161/rems/1852

RUPTURA DE BEXIGA CONSEQUENTE A UROLITÍASE EM CADELA: RELATO DE CASO

Autores

Luane de Macêdo e Silva
Indiana Lua Mendes Araujo
Vanessa Saraiva Sousa
Jacqueline Maria Canuto De Sousa
Alana Larissa Ximenes Silva

DOI:

https://doi.org/10.51161/rems/1852

Palavras-chave:

CADELA, RUPTURA DE BEXIGA, UROLITÍASE

Resumo

Introdução: A urolitíase é uma das principais causas de formações de cálculos no trato urinário dos animais domésticos e refere-se ao fato de haver cálculos ou urólitos nos rins, ureter, bexiga ou uretra. Objetivo: Este trabalho tem como objetivo relatar o caso de uma cadela com urólitos na vesícula urinária, que foi submetida à uma cistotomia com evolução para ruptura de bexiga. Materiais e métodos: Uma cadela da raça Poodle micro, 11 anos, 9 kg foi atendida em um hospital veterinário em Teresina- PI. A tutora relatou que o animal apresentava dificuldade de urinar e em gotejamento. O animal foi submetido a uma ultrassonografia na qual apresentou cistite e presença de litíase na vesícula urinária. Diante dos achados, foi solicitado a realização de hemograma, bioquímico, ecocardiograma e eletrocardiograma pré-cirúrgicos. Resultados: No hemograma observou-se presença de policitemia, linfopenia e monocitopenia absoluta; Bioquímico, eletrocardiograma e ecocardiograma sem alterações significativas. Diante disso, foi indicado uma cistotomia, mas o proprietário só retornou com o animal após 10 dias. Durante o transoperatório foram encontrados 2 cálculos: cerca de 2,26cm e 2,01cm cada, com superfície lisa e aspecto geométrico sugestivo de urólito de estruvita. Após 4 dias do procedimento cirúrgico, a cadela voltou ao hospital com aumento de volume na região abdominal por presença de líquido livre observado em ultrassonografia. Foi então realizado a punção para análise de líquido abdominal e creatinina, além do bioquímico sérico para diagnóstico. Na análise de líquido obteve-se como resultado: infiltrado inflamatório intenso, com predominância de neutrófilos íntegros e degenerados, macrófagos e hemácias, creatinina do fluido 16,8mg/dL; e no bioquímico observou-se creatinina 5,5 mg/dL. Diante desses resultados, foi perceptível que a concentração de creatinina do fluido era maior que a sérica, dessa maneira sendo sugestivo de uroperitônio. Com isso, o animal foi submetido a uma cistorrafia e lavagem da cavidade abdominal com boa recuperação. Conclusão: A urolitíase pode evoluir para uma ruptura de bexiga, devido a inflamação da parede ocasionada pelo cálculo, deixando-a com o aspecto friável. Assim, é necessário a retirada dos cálculos de diâmetro consideráveis com urgência, evitando sua evolução para ruptura vesical.

Publicado

2021-09-03

Como Citar

Silva , L. de M. e, Araujo, I. L. M. ., Sousa, V. S. ., Sousa, J. M. C. D. ., & Silva, A. L. X. . (2021). RUPTURA DE BEXIGA CONSEQUENTE A UROLITÍASE EM CADELA: RELATO DE CASO. Revista Multidisciplinar Em Saúde, 2(3), 38. https://doi.org/10.51161/rems/1852

Baixar Citação

Edição

v. 2 n. 3 (2021)

Seção

I Congresso On-line Nacional de Clínica Veterinária de Pequenos Animais

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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