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Ventrocaudal cystorrhaphy without urethral sphincterotomy in two broodmares
Authors:T Higuchi  S Inoue  M Satoh  T Kato  Y Yuasa
Institution:1. Mitsuishi Animal Medical Center, Hokkaido, Japan;2. Graduate School, Department of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan
Abstract:Two broodmares were diagnosed with rupture of the urinary bladder. One mare revealed abnormalities post partum and the other associated with ante partum uterine torsion. The clinical symptoms included mild abdominal pain, anorexia, decreased urinary volume and increased peritoneal fluid. In one mare, based on the creatinine level of the peritoneal fluid and serum biochemical abnormalities, uroperitoneum was diagnosed. In the other mare, the bladder rupture was found during the celiotomy for surgical repair of uterine torsion that was diagnosed upon rectal examination. Surgery was performed without a urethral sphincterotomy. The vaginal floor was incised in a standing position and the bladder was diverted into the vagina in order to suture the tears located in the ventrocaudal aspect of the bladder. Both mares survived after treatment for uraemia. Bladder rupture, although uncommon, may affect peripartum mares. Approach to the ruptured bladder without urethral sphincterotomy in a standing position should be considered as a choice for surgical repair.
Keywords:horse  bladder tear  cystorrhaphy  peripartum broodmare  sphincterotomy  urethrotomy
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