17/11/2024
Tiny, a male puspin cat, was brought to our clinic for a second opinion after his previous clinic encountered complications with urinary catheterization. The catheter used was too large, causing significant urethral trauma, and cytocentesis was performed to drain his urine temporarily. The owners were advised to consider a urethrostomy procedure and seek another clinic for further care.
Upon admission, Tiny was in critical condition. He was severely dehydrated, lethargic, in pain, and showing signs of urethral injury, with the tip of his p***s darkened and traumatized. A complete blood count (CBC) revealed a high white blood cell count, and serum chemistry results were alarming, with extremely elevated BUN and creatinine levels. His abdomen was distended and tender on palpation, leading Dr. Arra to suspect bladder leakage and possible peritonitis.
Within 24 hours, despite medical intervention, Tinyโs abdominal swelling worsened, and his condition deteriorated. Dr. Arra decided to perform an emergency exploratory laparotomy to confirm the suspected bladder leakage. During surgery, peritonitis was evident, with approximately 1 liter of fluid drained from the abdominal cavity due to the infection. A leakage in the bladder was identified as the source of the problem, likely caused by the previous cytocentesis. The bladder was meticulously sutured to seal the leakage, and the abdominal cavity was thoroughly flushed to manage and minimize the infection. Given the extent of his urethral trauma, urinary catheterization was avoided to allow the area to rest and heal naturally.
Post-operative recovery was challenging, but Tiny showed gradual improvement. By the 3rd day, his appetite returned, and he began urinating small amounts independently. Follow-up serum chemistry tests showed a steady decline in BUN and creatinine levels. Intensive monitoring and supportive care ensured there were no complications during this critical period.
By the 5th day, Tiny was eating, drinking, and using his litter box normally. His behavior had returned to his usual playful self. A repeat CBC revealed that his white blood cell count had normalized, indicating reduced inflammation. Tiny was discharged with medications and detailed instructions for home care and follow-up monitoring.
14 days post-surgery, Tiny returned for a follow-up visit, and we were thrilled to see his remarkable recovery.
His ownerโs dedication and trust, along with the care provided, played a vital role in saving Tiny from a life-threatening condition. โจ๐ฉต๐งก
