Peer-reviewed veterinary case report
Dog with rectocutaneous fistula healed after laparoscopic fecal
By Chandler, John C et al.·Published in Journal of the American Veterinary Medical Association·2005·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Use of laparoscopic-assisted jejunostomy for fecal diversion in the management of a rectocutaneous fistula in a dog.
- Species:
- dog
Plain-English summary
A 2-year-old female Siberian Husky was brought in for a rectocutaneous fistula, which is an abnormal connection between the rectum and the skin, along with a rectal tear and an abscess. After several unsuccessful attempts to repair the fistula, the veterinarian performed a laparoscopic-assisted jejunostomy, a surgical procedure that diverted feces away from the affected area. This approach allowed the wound to heal properly, although the dog did lose some weight during recovery. With careful management of fluids, nutrition, and antibiotics, the dog was able to recover successfully.
People also search for: dog rectal tear treatment · Siberian Husky fistula surgery · laparoscopic surgery for dog rectum issues
Abstract
A 2-year-old female Siberian Husky was referred for evaluation of a rectocutaneous fistula of unknown etiology. On evaluation, a rectal tear and an associated perivulvar abscess and draining tract were identified. Several attempts were made to repair the rectocutaneous fistula and associated rectal tear. Primary repair and fascia lata graft repair failed. Successful management was achieved via a laparoscopic-assisted end-on jejunostomy for fecal diversion, and the wound healed readily by second intention. During the period of hospitalization, the dog lost a considerable amount of weight. Particular care should be taken regarding fluid therapy, administration of antimicrobials, and adequate nutrition in patients with rectocutaneous fistulas. Overall, the use of laparoscopic-assisted end-on jejunostomy for fecal diversion in the management of rectocutaneous fistulas in dogs appears to be feasible; end-on or loop jejunostomy may also be an option for the treatment of other diseases of the distal portion of the gastrointestinal tract.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/15776947/