Peer-reviewed veterinary case report
Conservative management of uroperitoneum in a gelding.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 1992
- Authors:
- Gibson, K T et al.
- Affiliation:
- Department of Clinical Sciences · United States
- Species:
- horse
Plain-English summary
A gelding (a male horse that has been castrated) developed a condition called uroperitoneum, which is when urine leaks into the abdominal cavity, usually due to a blockage from a stone in the urethra. The treatment involved a procedure to create an opening in the urethra and draining the abdomen. While the horse had some damage to the bladder lining and developed an infection in the abdomen, this was managed with antibiotics. Although surgery is typically the best option for this condition, in this case, the less invasive approach worked well.
Abstract
Uroperitoneum as a sequela to urethral calculus in an adult gelding was successfully managed by use of subischial urethrotomy and abdominal drainage. Necrosis of bladder mucosa was seen endoscopically, but a tear or rupture was never identified. Peritonitis developed but was controlled with antibacterial treatment. Although uroperitoneum is usually a sequela to bladder rupture and the ideal treatment is surgical repair, conservative management may be warranted in selected cases.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/1624348/