개의 선천성 제4형 항문폐쇄증과 요도직장루의 외과 교정술

Surgical Correction of Congenital Type IV Atresia Ani with a URethrorectal Fistula in a Dog

  • 김종민 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 이재영 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 조기래 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 한태성 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 김소섭 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 한규보 (삼성종합동물병원) ;
  • 김근형 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 최석화 (충북대학교 수의과대학 및 동물의학연구소)
  • Kim Jong Min (College of Veterinary Medicine, Chungbuk National University) ;
  • Lee Jae Yeong (College of Veterinary Medicine, Chungbuk National University) ;
  • Cho Ki-Rae (College of Veterinary Medicine, Chungbuk National University) ;
  • Han Tae-Sung (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim So-Seob (College of Veterinary Medicine, Chungbuk National University) ;
  • Han Kyu-bo (Samsung Veterinary Hospital) ;
  • Kim Gonhyung (College of Veterinary Medicine, Chungbuk National University) ;
  • Choi Seok Hwa (College of Veterinary Medicine, Chungbuk National University)
  • 발행 : 2005.12.01

초록

A 4-week-old 0.5 kg male Shih Tzu with history of congenital abnormality, abnormality, was referred to Veterinary Teaching Hospital, Chungbuk National University for further evaluation and treatment. During physical examination, the dog revealed mild depression and dyschezia. In plain radiographs, a digital thermometer put in the anus and grasped blind end of the rectum. In contrast radiographs, a urethrorectal fistula was confirmed. Urine specimens were collected with cystocentesis. Bacteria of the urine were detected using an auto microorganism analyzer. According to history taking, physical examination, radiographic signs and urinalysis, it was diagnosed as type IV atresia ani with a urethrorectal fistula. The dog was treated by fistulectomy and anoplasty, and discharged with instruction. Three days after operation, mild dehiscence was appeared. Wound was left to heal by second intention. During the follow-up of eight weeks, wound showed it to be healed and defecation was normal.

키워드

참고문헌

  1. Chambers JN. Surgical diseases of the anorectum. In: Canine and Feline Gastroenterology, Philadelphia: WB Saunders. 1986: 279
  2. Chambers JN, Rawlings CA. Applications of a semitendinosus muscle flap in two dogs. J Am Vet Med Assoc 1991; 199: 84-86
  3. Ghanem M, Yoshida C, Isobe N, Nakao T, Yamashiro H, Kubota H, Miyake Y, Nakada K. Atresia ani with diphallus and separate scrota in a calf: a case report. Theriogenology. 2004; 61(7-8): 1205-1213 https://doi.org/10.1016/j.theriogenology.2003.04.002
  4. Johnston DE. Rectum and anus. In: Textbook of small animal surgery, Philadelphia: WB Saunders. 1985: 770
  5. Lillian A. Rectum and anus. In: Textbook of small animal surgery, 3rd ed. Philadelphia: WB Saunders. 2003: 684-685
  6. Matthiesen DT, Marretta SM. Diseases of the anus and rectum. In: Textbook of small animal surgery, 2nd ed. Philadelphia: WB saunders. 1993: 627
  7. Osborne CA, Engen MH, Yano BL, Brasmer TH, Jessen CR, Blevins WE. Congenital urethrorectal fistula in two dogs. J Am Vet Med Assoc 1975; 166: 999-1002
  8. Osuna DJ, Stone EA, Metcalf MR. A urethrorectal fistula with concurrent urolithiasis in a dog. J Am Anim Hosp Assoc 1989; 25: 35-39
  9. Prassinos NN, Papazoglou LG, Adamama-Moraitou KK, Galatos AD, Gouletsou P, Rallis TS. Congenital anorectal abnormalities in six dogs. Vet Rec 2003; 153: 81-85 https://doi.org/10.1136/vr.153.3.81
  10. Ralphs SC, Kramek BA. Novel perineal approach for repair of a urethrorectal fistula in a bulldog. Can Vet J 2003; 44: 822-823
  11. Rawlings CA. Anovaginal and rectovaginal fistula. In: Current Techniques in Small Animal Surgery, 1977: 161
  12. Rawlings CA, Capps WF Jr. Rectovaginal fistula and imperforate anus in a dog. J Am Vet Med Assoc 1971; 159: 320-326
  13. Seim HB. Diseases of the anus and rectum. In: Current Veterinary Therapy IX, Philadelphia: WB Saunders. 1986: 916
  14. Suess RP Jr, Martin RA, Moon ML, Dallman MJ. Rectovaginal fistula with atresia ani in three kittens. Cornell Vet 1992; 82: 141-153
  15. Whitney WO, Schrader LA. Urethrorectal fistulectomy in a dog, using a perineal approach. J Am Vet Med Assoc 1988; 193: 568-569
  16. Wilson CF, Clifford DH. Perineoplasty for anovaginal cleft in a dog. J Am Vet Med Assoc 1975; 159: 871