Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Surgical Correction of Congenital Type III Atresia ani with Rectovaginal Fistula in a Cat

고양이의 직장질루가 병발한 Type III 선천성 항문무형성증의 수술적 교정

  • Kim, Minkyung (Institute of animal medicine, Veterinary Surgery, College of Veterinary Medicine Gyeongsang National University) ;
  • Hwang, Yong-Hyun (Pet's All Animal hospital) ;
  • Choi, Woo (Pet's All Animal hospital) ;
  • Lee, Jae-Hoon (Institute of animal medicine, Veterinary Surgery, College of Veterinary Medicine Gyeongsang National University)
  • Accepted : 2013.10.23
  • Published : 2013.10.31
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Abstract

A four-week-old female Scottish Fold cat weighting 0.6 kg was admitted for vaccination. During the physical examination, the liquid feces were observed from the vulva and the anus was imperforate. The location of a narrow fistula and distended colon were identified on the contrast radiography. Definitive diagnosis was made as type III atresia ani with rectovaginal fistula. Anal reconstruction and ligation of the fistula were successfully undertaken to treat atresia ani. After surgery, the cat was treated with lactulose and a special diet consisting of high fiber was fed to increase digestibility. The cat was able to control defecation after 2 weeks post-operation. There was no complication for 8 months after surgery.

4주령의 0.6 kg 암컷 스콧티쉬 폴드 고양이가 예방 접종을 위해 내원하였다. 신체 검사에서 수양성 분변이 질에서 나오는 것이 확인 되었고 항문은 폐쇄되어 있었다. 방사선 양성 조영 검사에서 직장질루, 확장된 결장이 확인 되었다. 영상 검사에 기초하여 Type III 의 항문 무형성과 직장 질루가 병발한 것으로 최종 진단 하였다. 수술적인 직장 질루의 폐쇄와 항문의 재건이 실시되었다. 수술 후 소화능력을 향상시키기 위해서 락툴로즈와 식이요법을 실시 하였고, 고양이는 수술 후 2주에 배변 조절이 가능해졌으며, 8개월 후 추적조사에서 합병증 없이 배변조절 상태가 유지 되었다.

Keywords

References

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