Uroabdomen after UB surgery

Mohammad Z Rahman We had a very interesting case in our hospital today..I saw this for first time...
11yrs old Brittany...16.2 kgs refered to our hospital from local clinic.
she had a history of previous bladder surgery due to removal of blader mass.
upon PE was suspected uroabdomen- fluid was found in abdomen in ultrasound correlated with uroabdomen. Drinking and urinating more than normal, she has history of elavated liver enzyme.
on presentation she was depressed, vitals with in normal limits excepts mildly elavated heart rate. MM pink, normal CRT. Unbalanced, relectant, painfull and tense on abdominal palpation.
Diagnostics:
In house blood work: Increased BUN,normal creatinine, Increased Mg and Na, Normal Kidney value
PCV/TS- 40% and 7.8 g/dL
BP- 165mmHg

PLAN: fluid therapy, Cefazolin 350mg q 24 hr IV, fantanyle 2mg/kg/hr IV, ketamine 2mg/kg/hr.
urinary catheter placed to monitor UOP. Free fluids removed via abdominocentesis whish is cloudy yollow- brownish in color.
placed under general anaesthesia, Cystogram was performed. This revealed the leakage of Trigone. During Exploratory leakage was identified and sutured closed. then ABD lavage with normal saline. BP mildly low during surgery but was normal post operatively.
then she was monitor in ICU for post oparative recovery and monitor UOP. CRIs changed every 4 hrs equal to UOP. She almost back to normal with in 72 hrs after surgery.

SAVIN- Small Animal Veterinary Information Network photos

09 February at 05:43 · Comment · · Share

• 3 people like this.
• • 

    Gautam Unny doc, would appreciate it if u tell us how much the entire procedure costs

    09 February at 06:20 ·
  • 

    Mohammad Z Rahman Doc..I m not really sure but its huge our hospital charged owner about 1950 dollars.
    but I guess the entire cost is like about 600 dollars...

    09 February at 06:32 ·
  • 

    Gautam Unny hmm thats what i thought, about a lakh in Indian currency, probably the one and main reason why we are unable to provide a better level of care. maybe in a few years things will change.

    09 February at 06:44 · · 1 person
  • 

    Mohammad Z Rahman yes I hope so..all of us should try for that change

    09 February at 06:47 ·
  • 

    Swarupmay Majumdar this is a great case, thanks to zillur. Zillur can u tell us how do u monitor BP?

    09 February at 15:39 ·
  • 

    Mohammad Z Rahman

    Thanks Doc..we use an integrated device combine with ECG, pulse OX, and BP on a same screen for continuous BP monitoring...
    Although we use the conventional Doplar BP device but it gets only systolic...but rhe integrated device shows systolic, dystolic and mean...so we usually prefer that in ICU.

    09 February at 22:50 · · 1 person
  • 

    Swarupmay Majumdar thank u zillur.

    10 February at 14:19 ·
  • 

    Premal Darji pulse oximeter or multipara moniter very costly..but vets who have inpatient facilities and whos been practisisng since 3-4 years i dont tthink its imposiible to bye it..and without it also i think u can moniter the dog..just u need to stay with the pet till its stable..its not going to work till the time v keep crying about the expenses..

    28 June at 16:09 ·
  • 

    Subbu Ayyappan just try the finger pulse oximeter.Costs Rs 5000/ and is good for basic monitoring

    08 August at 20:23 · · 2 people