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Case Report


Management of uroperitoneum through combination of conservative and surgical treatments in two colts

Chiara Montano, Giulia Forni, Aliai Lanci, Jole Mariella, Chiara Del-Prete, Mariaelena de-Chiara, Maria Pia Pasolini, Riccardo Rinnovati.


Abstract
Background:
Ruptures of the urinary bladder and urachus are the most frequent cause of uroperitoneum in foals. Surgical correction is often the first treatment choice, however nonsurgical methods, such as urine removal via urinary catheters and abdominal drains, have been successfully performed in foals.
Case Description:
Two foals were referred to the Equine Perinatology Unit for suspicion of uroperitoneum. Diagnosis was confirmed by hematobiochemical and ultrasound examinations, thus cystorrhaphy and cystoplasty were attempted. Surgeons found a lesion in the dorsocranial margin of the bladder (Case 1) and a tear in the pelvic urethra (Case 2); in the first case the defect was routinely repaired, while the last lesion was impossible to repair due to its localization. A urinary catheter was left in place in both cases. Uroperitoneum recurred 72 hours after the surgery in both foals: a second surgical correction was not recommended due to the localization of the tears and conservative treatment, with the placement of a 32F chest tube in the most ventral part of the abdomen, was preferred. Abdominal drains were removed 5-7 days after surgery, while urinary catheters were left in place for up to 7-8 days. Colts’ conditions improved during hospitalizations. Two months after bladder surgery, Case 1 was euthanized due to multiple adhesions between the small intestine and the abdominal wall. Case 2 was still alive one year post-operatively.
Conclusion:
Although it cannot be considered the first choice for treatment of uroperitoneum in the foal, nonsurgical treatment was successful in both cases in the short-term follow-up. However, the prognosis should be cautious due to the risk of long-term complications. Conservative management may be used to manage bladder/urethral tears that cannot be solved by surgery.

Key words: Abdominal drainage, Cystorrhaphy, Cystoplasty, Foal, Urinary catheter


 
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How to Cite this Article
Pubmed Style

Montano C, Forni G, Lanci A, Mariella J, Del-Prete C, de-Chiara M, Pasolini MP, Rinnovati R. Management of uroperitoneum through combination of conservative and surgical treatments in two colts. Open Vet J. 2023; 13(11): 1471-1477. doi:10.5455/OVJ.2023.v13.i11.11


Web Style

Montano C, Forni G, Lanci A, Mariella J, Del-Prete C, de-Chiara M, Pasolini MP, Rinnovati R. Management of uroperitoneum through combination of conservative and surgical treatments in two colts. https://www.openveterinaryjournal.com/?mno=162871 [Access: February 12, 2024]. doi:10.5455/OVJ.2023.v13.i11.11


AMA (American Medical Association) Style

Montano C, Forni G, Lanci A, Mariella J, Del-Prete C, de-Chiara M, Pasolini MP, Rinnovati R. Management of uroperitoneum through combination of conservative and surgical treatments in two colts. Open Vet J. 2023; 13(11): 1471-1477. doi:10.5455/OVJ.2023.v13.i11.11



Vancouver/ICMJE Style

Montano C, Forni G, Lanci A, Mariella J, Del-Prete C, de-Chiara M, Pasolini MP, Rinnovati R. Management of uroperitoneum through combination of conservative and surgical treatments in two colts. Open Vet J. (2023), [cited February 12, 2024]; 13(11): 1471-1477. doi:10.5455/OVJ.2023.v13.i11.11



Harvard Style

Montano, C., Forni, . G., Lanci, . A., Mariella, . J., Del-Prete, . C., de-Chiara, . M., Pasolini, . M. P. & Rinnovati, . R. (2023) Management of uroperitoneum through combination of conservative and surgical treatments in two colts. Open Vet J, 13 (11), 1471-1477. doi:10.5455/OVJ.2023.v13.i11.11



Turabian Style

Montano, Chiara, Giulia Forni, Aliai Lanci, Jole Mariella, Chiara Del-Prete, Mariaelena de-Chiara, Maria Pia Pasolini, and Riccardo Rinnovati. 2023. Management of uroperitoneum through combination of conservative and surgical treatments in two colts. Open Veterinary Journal, 13 (11), 1471-1477. doi:10.5455/OVJ.2023.v13.i11.11



Chicago Style

Montano, Chiara, Giulia Forni, Aliai Lanci, Jole Mariella, Chiara Del-Prete, Mariaelena de-Chiara, Maria Pia Pasolini, and Riccardo Rinnovati. "Management of uroperitoneum through combination of conservative and surgical treatments in two colts." Open Veterinary Journal 13 (2023), 1471-1477. doi:10.5455/OVJ.2023.v13.i11.11



MLA (The Modern Language Association) Style

Montano, Chiara, Giulia Forni, Aliai Lanci, Jole Mariella, Chiara Del-Prete, Mariaelena de-Chiara, Maria Pia Pasolini, and Riccardo Rinnovati. "Management of uroperitoneum through combination of conservative and surgical treatments in two colts." Open Veterinary Journal 13.11 (2023), 1471-1477. Print. doi:10.5455/OVJ.2023.v13.i11.11



APA (American Psychological Association) Style

Montano, C., Forni, . G., Lanci, . A., Mariella, . J., Del-Prete, . C., de-Chiara, . M., Pasolini, . M. P. & Rinnovati, . R. (2023) Management of uroperitoneum through combination of conservative and surgical treatments in two colts. Open Veterinary Journal, 13 (11), 1471-1477. doi:10.5455/OVJ.2023.v13.i11.11