Obstructive urethrolithiasis in a mule

Background: Obstructive urolithiasis is a rare but potentially serious condition in equids. In the reviewed literature, there are several case reports of urolithiasis in horses and donkeys, but the only mention of this condition in mules occurred as incidental findings at a slaughterhouse. Therefore, this work aims to describe the first report and successful treatment of obstructive urethrolithiasis in a mule (Equus asinus x Equus caballus). Case: A 10-year-old castrated male mule weighing 380 kg was referred for hospital care. Tachycardia (64 beats per min), mild dehydration (7%), increased capillary filling time (3 s), slightly congested mucous membranes, and dysuria were observed. During its attempts to urinate, the mule was able to expose the penis, resulting in only dribbling of urine with reddish coloration. Urethral catheterization failed to reach the urinary bladder and revealed an obstruction at the ischial arch (7 x 4 cm), as confirmed by palpation and ultrasonography. Additionally, rectal ultrasound examination showed urine sedimentation and a single 2.36 mm vesical calculus. After sedation, local anesthesia, and surgical preparation, urethrotomy in the standing position was performed over the urethral obstruction at the ischial arch, reaching the urethrolith that fragmented during removal. Urethral catheterization from the urethrotomy site to flush the urinary bladder and urethra were performed, but the remaining vesical calculus was not retrieved. Considering the presence of a vesical calculus, severe urethral damage caused by the spiculated calculus and catheterization attempts, permanent perineal urethrostomy was performed. Laboratory tests revealed unremarkable hematological parameters, while serum biochemistry showed increased creatinine level. Urinalysis revealed cloudiness, amber appearance, countless red blood cells and bacteria, and calcium carbonate crystals. The urethrolith composition included ammonia, carbonate, and oxalate. Twelve months after surgery, the mule was healthy, the urethrostomy was viable, and no complications were recorded during this period. Discussion: Although uncommon, there are reports describing calculi of different sizes and weighing up to 803 g, causing mild to severe clinical signs according to the degree of obstruction in horses and donkeys. In the mule described here, the urethrolith did not completely obstruct the urethra, but the spiculated calculus caused dysuria and hematuria. In fact, most animals are usually referred for acute abdominal signs or hematuria and pollakiuria, but other unusual signs, such as rectal prolapse, may also be present. In the present report, the diagnosis of obstructive urethrolithiasis was established based on clinical signs and transcutaneous ultrasound of the subischial area, allowing visualization of the urethrolith. To the best of our knowledge, this is the first report of obstructive urethrolithiasis affecting a mule in Brazil. We reiterate that this condition must be included in the differential diagnosis of mules and hinnies with hematuria and dysuria, especially when associated with abdominal pain. Additionally, urethrostomy associated with urethrotomy performed on this mule in the standing position was a low-cost procedure with good results. Due to the lack of specificity regarding the food management of the mule on the previous farm, an assessment cannot be made regarding the effects of its food on urolith composition.(AU)

Clinical-pathological and laboratorial findings in a horse with Schiff-Sherrington syndrome / Achados clínico-patológicos e laboratoriais em um equino com síndrome de Schiff-Sherrington

Background: Schiff-Sherrington syndrome is characterized by extensor hypertonicity of the forelimbs and flaccid hindlimbs as a result from the interruption of the ascending inhibitory effect on motor neurons of forelimbs. The main cause is trauma to the spinal cord in thoracolumbar segment and is considered a common condition in companion animals, but rarely reported in large animals. The present study aimed to report the clinical-pathological and laboratorial findings of a horse with Schiff-Sherington syndrome. Case: A 9-year-old mare weighing 330 kg was referred for clinical evaluation after a 36 h evolution of an acute onset of inability to stand. During physical examination the horse was on lateral recumbency and presented normal mental status, spasticity of the forelimbs, flaccid paralysis of the hind limbs, and superficial sensitivity decreased from the 13th thoracic vertebra, reaching the perianal region and hindlimbs. Hematological and biochemical abnormalities included mild neutrophilic leukocytosis, hypoalbuminemia and increased activity of aspartate aminotransferase. Cerebrospinal fluid (CSF) analysis showed yellowish coloration (xanthochromia), turbidity (+1), increased density, hypoproteinemia and erythrophagocytosis. Microbiological culture of CSF was negative. Necropsy revealed muscle hematomas and complete fracture of the 10th and 11th thoracic vertebrae with [...]

Clinical-pathological and laboratorial findings in a horse with Schiff-Sherrington syndrome / Achados clínico-patológicos e laboratoriais em um equino com síndrome de Schiff-Sherrington

Background: Schiff-Sherrington syndrome is characterized by extensor hypertonicity of the forelimbs and flaccid hindlimbs as a result from the interruption of the ascending inhibitory effect on motor neurons of forelimbs. The main cause is trauma to the spinal cord in thoracolumbar segment and is considered a common condition in companion animals, but rarely reported in large animals. The present study aimed to report the clinical-pathological and laboratorial findings of a horse with Schiff-Sherington syndrome. Case: A 9-year-old mare weighing 330 kg was referred for clinical evaluation after a 36 h evolution of an acute onset of inability to stand. During physical examination the horse was on lateral recumbency and presented normal mental status, spasticity of the forelimbs, flaccid paralysis of the hind limbs, and superficial sensitivity decreased from the 13th thoracic vertebra, reaching the perianal region and hindlimbs. Hematological and biochemical abnormalities included mild neutrophilic leukocytosis, hypoalbuminemia and increased activity of aspartate aminotransferase. Cerebrospinal fluid (CSF) analysis showed yellowish coloration (xanthochromia), turbidity (+1), increased density, hypoproteinemia and erythrophagocytosis. Microbiological culture of CSF was negative. Necropsy revealed muscle hematomas and complete fracture of the 10th and 11th thoracic vertebrae with [...](AU)