ABSTRACT
An 8-year-old cat was presented for an acute history of anorexia, marked abdominal pain, and hyperthermia. Ultrasonography showed a cecal perforation with focal steatitis and adjacent free gas bubbles, consistent with focal peritonitis. Surgery confirmed the imaging findings. An enterectomy was performed with the removal of the cecum and ileocolic valve, and anastomosis between the ileum and colon was performed. Histology revealed transmural enteritis and chronic severe pyogranulomatous peritonitis with intralesional plant fragments.
Subject(s)
Cat Diseases , Cecal Diseases , Intestinal Perforation , Ultrasonography , Animals , Cats , Cat Diseases/diagnostic imaging , Cat Diseases/surgery , Cat Diseases/diagnosis , Cecal Diseases/veterinary , Cecal Diseases/diagnostic imaging , Cecal Diseases/surgery , Cecum/diagnostic imaging , Cecum/surgery , Cecum/injuries , Intestinal Perforation/veterinary , Intestinal Perforation/surgery , Intestinal Perforation/diagnostic imaging , Peritonitis/veterinary , Peritonitis/diagnostic imaging , Peritonitis/etiology , Ultrasonography/veterinaryABSTRACT
Case summary: A 1-year-old neutered male domestic shorthair cat was referred with suspected uroperitoneum. Ultrasonography showed peritoneal effusion. CT further revealed a bilateral sacroiliac joint disruption associated with an overlapped dislocation of the pubic symphysis, resulting in an abnormal trajectory of the urethra with extramural urethral compression. An open reduction and internal fixation of the pubis with correction of the urethral trajectory was performed under general anaesthesia. The uroperitoneum was determined to originate from a cystocentesis. Relevance and novel information: This report describes an unusual case of urethral obstruction secondary to overlapping dislocation of the pubic symphysis with urethral entrapment and concurrent bilateral sacroiliac luxation. To the authors' knowledge, acute urethral obstruction owing to fractures of the pubis, without urethral laceration, has never been described.