Augmentation enterocystoplasty in a polytrauma dog with extensive bladder necrosis

• Published in: Veterinary record case reports 2021-06, Vol.9 (2), p.n/a
• Main Authors: Gonçalves, Ronald, Wade, Jennifer, Fransson, Boel, Ngwenyama, Thandeka
• Format: Article
• Language: English
• Subjects: Abdomen; Bladder; bladder augmentation; Case reports; cystectomy; dogs; enterocystoplasty; trauma; Urinary incontinence; urinary tract
• ISSN: 2052-6121; 2052-6121
• DOI: 10.1002/vrc2.82

An 11‐year‐old male castrated Terrier was referred for multiple pelvic fractures following vehicular trauma. Pertinent clinical findings included a painful abdomen, non‐ambulatory paraparesis, absent anal tone and perineal reflex and urinary incontinence. Relevant findings on abdominal CT were pelvic fractures, prepubic tendon avulsion and retroflexed urinary bladder. A urinary catheter was placed to decompress the bladder, and a positive contrast cystourethrogram showed no evidence of leakage. Intraoperatively, it was found that approximately 90% of the bladder was necrotic; both ureters, prostatic urethra and the sphincter appeared viable. An enterocystoplasty was performed using a vascularized jejunal segment, made into an enteric pouch, and sutured to the remainder of the viable bladder. Ureteral partial obstruction, oliguria and UTI were short‐term complications; the patient also had persistent urinary incontinence. Enterocystoplasty is a surgical procedure that can be considered in patients with extensive bladder necrosis after carefully considering the possible short and long‐term complications.