Peer-reviewed veterinary case report
Rectal tear and fistulas after pelvic trauma in a Yorkshire Terrier
By Tobias, K M·Published in Journal of the American Veterinary Medical Association·1994·Department of Veterinary Clinical Sciences, United States·View original on PubMed →
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Original publication title: Rectal perforation, rectocutaneous fistula formation, and enterocutaneous fistula formation after pelvic trauma in a dog.
- Species:
- dog
Plain-English summary
A 3-year-old Yorkshire Terrier was brought in after being hit by a car, showing signs of drainage from a surgical incision and severe infection. The dog had a serious rectal perforation and other complications from pelvic fractures. Despite initial attempts to repair the damage, the dog developed additional issues, including a fistula (an abnormal connection) that caused weight loss and ongoing drainage. After a colostomy to divert feces and careful wound management, the dog eventually healed well and regained full limb function.
People also search for: dog hit by car treatment · Yorkshire Terrier rectal perforation · dog fistula treatment · dog weight loss after surgery · dog drainage from incision
Abstract
This report describes the management of rectal perforation, incision infection, implant failure, sepsis, osteonecrosis, and enterocutaneous fistula formation in a 3-year-old Yorkshire Terrier that was hit by a car. Rectal perforation from displaced pelvic fractures was suspected because of drainage from the incision, and clinical signs, and blood test results indicative of sepsis. Ilial and acetabular osteonecrosis from wound infection were treated with hemipelvectomy without pelvic limb amputation, and full limb function was regained. Primary repair of the rectal perforation and use of a muscle flap were unsuccessful, and a rectocutaneous fistula developed, but the rectum healed after colostomy for fecal diversion. An enterocutaneous fistula subsequently developed at the rectocutaneous fistula site, resulting in weight loss and continued drainage from the incision. Primary closure of the jejunal stoma, appropriate wound management, and nutritional support by enteral feeding resulted in eventual second-intention healing of the fistula and incision.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/7698940/