Laparoscopic assisted cystotomy in a Paso Fino horse with a cystic calculus

Autores/as

  • Juan Felipe Ossa Bernal Corporación Universitaria Remington
  • Diego Duque Betancurt
  • Renso Sneider Gallego Rodríguez Corporación Universitaria Remington
  • Camilo Jaramillo Morales University of Guelph

Palabras clave:

cystitis, cystotomy, equine, laparoscopy, urolith.

Resumen

Urolithiasis is the presence of mineral concretions or urine crystals at the urinary tract. In horses, urolithiasis has a relatively low prevalence ( 0.4% to 0.5%), its presentation occurs at the level of the kidneys and the urinary bladder, the last one is the site of the greatest presentation. Most of the uroliths in horses are constituted for calcium carbonate. The diagnosis is commonly made by relating the findings of the clinical examination along with the ultrasound. Surgical resolution is the election for treatment. The patient was a 350 kg, twelve years old Colombian creole gelding referred with historical presentation of two months of pigmenturia and dysuria, to the transrectal palpation a round structure of approximately 7 cm of diameter was located in the urinary bladder, which was confirmed by ultrasound and cystoscopy, in addition, cytology of the urinary sediment was performed. The therapeutic approach was made with medical and surgical management by assisted laparoscopic approach. The aim of this case report is to describe for the first time a case of urolithiasis and its resolution by assisted laparoscopy in a Colombian Creole Horse. Cistotomía asistida por laparoscopia en un caballo de Paso Fino con cálculo vesicalLa urolitiasis es la presencia de concreciones minerales de los cristales de orina en las vías urinarias. En los equinos esta patología tiene una prevalencia baja (0,4% a 0,5%), su presentación se da en riñones y vejiga generalmente, siendo ésta última el sitio de mayor frecuencia. Los urolitos más reportados en caballos se encuentran compuestos por carbonato de calcio. El diagnóstico se realiza comúnmente  relacionando los hallazgos del examen clínico junto con la ecografía. Para el tratamiento se realiza abordaje quirúrgico. Un equino macho castrado, criollo colombiano, de doce años y un peso de 350 kg fue remitido para interconsulta por la presentación histórica de dos meses de pigmenturia y disuria, a la palpación transrectal se encontró una estructura redonda y compacta de aproximadamente 7 cm de diámetroubicada en la vejiga, lo cual fue confirmado mediante ecografía vesical y cistoscopia, a su vez, se realizó citología del sedimento urinario. El abordaje terapéutico se hizo mediante manejo médico y quirúrgico por la técnica de cistotomía asistida por laparoscopia. El objetivo de este artículo es describir el primer reporte de caso de un urolito y de una cistotomía asistida por laparoscopia en un Caballo Criollo Colombiano.Palabras clave: cistitis, cistotomía, equino, laparoscopia, urolito. Cistotomia assistida por laparoscopia em um cavalo de Paso Fino com cálculo na bexigaA urolitíase é a presença de concreções minerais macroscópicas de cristais de urina no trato urinário. A prevalência desta afeccão em equinos é relativamente baixa (0,4% a 0,5%), geralmente acomete rins e vesicula urinária, sendo esta última o principal local de apresentação. A maior porcentagem dos urólitos de equinos é composta de carbonato de cálcio. O diagnóstico é comumente feito pela associacão dos achados do exame clínico e ultrassonográficos. A abordargem cirurgica é normalmente o tratamento de escolha, sendo realizada por meio de laparocistotomia. O paciente deste relato era um cavalo crioulo colombiano, com doze anos e pesando 350 kg, que foi encaminhado com histórico de dois meses de pigmenturia e disúria. A palpação transretal revelou uma estrutura esférica de cerca de 7 cm de diâmetro dentro bexiga, o foi confirmado por ultrassonografia e cistoscopia, seguido por citologia do sedimento urinário . A abordagem terapêutica foi realizada com manejo médico e cirúrgico, que consistiu de técnica de cistotomia assistida por videolaparoscopia. O objetivo deste relato de caso é descrever o primeiro caso de um urólito e uma cistotomia assistida por laparoscopia em um Cavalo Crioulo Colombiano. Palavras-chave: cistite, cistotomía, equino, laparoscopia, urólito.

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Publicado

2020-05-01

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CASO CLÍNICO