- 期刊
Case Report: Canine Urethral Trauma Caused by Inappropriate Instrumentation of Lithotripsy
病例報告：超音波碎石術誘發尿道破裂
摘要
病犬為一年約七歲齡未節育之雄性吉娃娃，一個月前出現血尿並於地方動物醫院診斷為尿路結石，經兩次的超音波碎石術治療後，狀況並未改善，遂於民國100年4月19日至中興大學獸醫教學醫院就診。臨床檢查中可見病犬下腹部、陰囊外、鼠蹊與外陰部紅腫瘀青且疼痛，放射線學檢查中可於膀胱與尿道中發現數顆大小不一之結石影像。嘗試retrohydroproulsion但未成功，並在膀胱尿道造影檢查中發現造影劑於遠端尿道漏出。初步診斷為尿路結石與尿道破裂。民國100年4月20日施行手術治療將尿道縫合並裝置Foley balloon導尿管後，施行膀胱切開術將結石悉數取出。兩週後病犬回院拆除導尿管，膀胱尿道造影檢查無漏出之影像，病犬亦可正常排尿。最終診斷為犬之尿路結石與尿道破裂。
並列摘要
A 7 years old 5.3 kg male Chihuahua was presented with urethral trauma due to inappropriate instrumentation of lithotripsy. Lithotripsy has caused urethral trauma where severe bruising, edema and swelling were located extensively at the sphere of inguinal, perineal and scrotal regions. In addition, severe inflammation was noted by elevated WBC count. Rupture of distal penile urethra was confirmed by positive contrast radiography. Operation was performed by scrotal ablation, distal penile urethra repair and removal of the urethral and bladder uroliths. An urinary catheter was placed. The dog was able to urinate normally postoperatively. It is suggested that lithotripsy may be an option for the removal of urolith in dog, but the related technique and equipment of lithotripsy applying on this canine condition currently are not suitable.
延伸閱讀
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