Use of rectal tissue for reconstruction of an anogenital cleft in a juvenile dog with recurrent rectal prolapse

2022 ◽  
pp. 1-6
Author(s):  
Jessica R. Kinsey ◽  
Mohammed I. A. Ibrahim
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Fecal Incontinence ◽  
Tract Infection ◽  
Rectal Prolapse ◽  
Rectal Mucosa ◽  
Clinical Findings ◽  
Reference Ranges ◽  
Abdominal Ultrasonography ◽  
Tissue Flap

Abstract CASE DESCRIPTION A 4-month-old 4.2 kg sexually intact female mixed-breed dog was evaluated for rectal and vesicular tenesmus, intermittent rectal prolapse, fecal incontinence, and an anogenital cleft. CLINICAL FINDINGS Rectal prolapse and an anogenital cleft were confirmed on physical examination. Results of a CBC and serum biochemical analysis were within respective reference ranges, and abdominal ultrasonography revealed no abnormalities. Urinalysis revealed evidence of a urinary tract infection. TREATMENT AND OUTCOME An H-perineoplasty was performed and the prolapse was reduced. The repair partially dehisced and was repaired (with concurrent reduction of a recurrent rectal prolapse) but dehisced again. There was limited tissue available for additional reconstruction. In another surgical procedure, the rectum was allowed to prolapse, the most dorsal 40% of the prolapsed rectal tissue was resected, and the rectal tissue margin and skin in this region were apposed. The remaining rectal tissue flap was folded ventrally, and the lateral margins of the aborad aspect were sutured to the dorsolateral vestibular mucosa. In a subsequent surgery, 2.5 to 3 cm of the rectal tissue flap was excised. The remainder was used to create ventral margins for the rectum and vestibular mucosa. The perineal skin between the anus and dorsal vulvar commissure was closed. The patient experienced mild cutaneous partial dehiscence of the repair that healed by second intention. Over an 18-month follow-up period, some fecal incontinence persisted, but straining resolved and urinary tract infection did not recur. CLINICAL RELEVANCE For the dog of this report, the use of rectal mucosa in surgical repair of an anogenital cleft provided an acceptable clinical outcome.

scholarly journals Study of gynecological health of women with disabilities

2019 ◽  
Vol 8 (11) ◽  
pp. 4383
Author(s):  
Prajakta Ganesh Joshi ◽  
Ganesh Arun Joshi
Keyword(s):  
Cervical Cancer ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Premenstrual Syndrome ◽  
Clinical Findings ◽  
Women With Disabilities

Background: In routine gynaecological practice, women with disabilities are rarely seen. The available literature regarding gynaecological and obstetric issues of women with disabilities is scanty. Hence this study was designed on women with disabilities participating.Methods: History and examination findings regarding gynaecological problems of 30 participants were collected.Results: Results show that two third of the participants had normal menses while others had dysmenorrhea, oligomenorrhea, premenstrual syndrome, menorrhagia, infective vaginitis and urinary tract infection. 11 participants were married, out of which 2 had infertility. None of the participants had clinical findings suggestive of breast or cervical cancer. These findings are compared with available studies of similar type.Conclusions: This study concludes recommending the need of special camps for women with disabilities with Gynaecologist on the panel.

TREATMENT UPPER URINARY TRACT INFECTION IN THE PATIENT WITH OBSTRUCTIVE UROLITHIASIS

2017 ◽  
pp. 9-13
Author(s):  
Dinh Dam Le ◽  
Khoa Hung Nguyen ◽  
Dinh Khanh Le
Keyword(s):  
Blood Pressure ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Upper Urinary Tract ◽  
Clinical Findings ◽  
Lumbar Region ◽  
Ureteral Catheter ◽  
Average Size ◽  
The Right

Purposes: Evaluation of the result treatment upper urinary tract infection in the patient with obstructive urolithiasis. Participants and Methods: 9 patients with obstructive pyelonephritis urolithiasis from October 2015 to May 2016 at Hue Univesity Hospital. Results: Male:female ratio was 1: 3.5. Median age was 58.59 ± 8.62 years (range 48–71 years). The clinical findings when admitted at hospital were as follows: body temperature 38.82 ± 0.74°C, pulse rate 93.89 ± 11.42/min, respiratory rate 19.89 ± 1.45/min, Systolic blood pressure 126.67 ± 21.79 mmHg, diastolic blood pressure 78.89 ± 6.00 mmHg. The laboratory results were as follows: WBC: 14.22 ± 5.7 G/l, platelets 262.67 ± 106.54 G/l, serum creatinine 133 ± 55.5 umol/l, serum CRP 118.94 ± 88.92 mg/l, serum procalcitonin 4.32 ± 9.02 ng/ml. The right-side ureteric stones were found in 6 patients (66.7%), the left-side stones were found in 3 patients (33.3%). The average size of the stones was 23.67 ± 11.88 mm. 9 patients (100%) received transurethral stenting using a double-J ureteral catheter. All patients received antimicrobial therapies. After the drainage of the upper urinary tract and using antimicrobial therapies, clinical and laboratory condition of most of patients was improved significantly (fever had broken, no pain at the lumbar region, kidney vibration was painless). Conclusions: Upper urinary tract infection in patients with obstructive urolithiasis was urological emergency condition. It is necessary to have early treatment to avoid urosepsis, shock sepsis. Key words: upper urinary, obstructive urolithiasis

Use of Clinical Findings in the Diagnosis of Urinary Tract Infection in Women

1986 ◽  
Vol 136 (1 Part 1) ◽  
pp. 187-187
Author(s):  
R.S. Wigton ◽  
V.L. Hoellerich ◽  
J.P. Ornato ◽  
V. Leu ◽  
L.A. Mazzotta ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Clinical Findings

CORRELATION OF ABDOMINAL ULTRASONOGRAPHY FINDINGS WITH THE AGE OF CHILDREN WITH CULTURE POSITIVE URINARY TRACT INFECTION

2021 ◽  
pp. 46-48
Author(s):  
Murchana Khound ◽  
Sekharjyoti Sharma
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
Laboratory Data ◽  
Abdominal Ultrasonography ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
Male Female Ratio ◽  
Culture Positive

Background: Urinary tract infection(UTI) is an important cause of mortality and morbidity in children, especially complicated UTI. In this study we have tried to see the correlation of Ultrasound abdomen ndings with age of the culture positive UTI patients. Objectives: to look at the age and sex distribution of patients with culture positive UTI and to look for the correlation of ultrasound abdomen ndings with the age of culture positive UTI patients Methods: It was a hospital based observational study conducted in one of the busiest hospitals of Jorhat over a period of 12 months. Urine culture reports of all patients were traced from the hospital laboratory data. Ultrasound abdomen was done in patients with positive urine culture report . Results: Total 206 urine samples were tested from suspected cases out of which 43(21%) were culture positive urinary tract infection. UTI was more in girls as compared to boys. The male : female ratio was found to be 3:1 in children less than 2 years and in children more than 2 years female outnumbered males(1:2 , 2:3 and 1:6 in children between the age group of 2 to 5 years, 6-9years and 10 to 14 years respectively). Cystitis(p=0.22) and hydronephrosis(0.27) had no signicant correlation with the age of the UTI patients whereas Pyelonephritis(p=0.03) had signicant correlation with age of UTI patients. All the patients who had pyelonephritis were less than 5 years of age. Conclusion: UTI is an important cause of mortality and morbidity in children and younger children are more prone to complications. So a collective effort should be made to diagnose such patients earlier and treat them adequately with judicious use of antibiotics.

Caliceal Clubbing and Adjacent Parenchymal Scarring (Always Reflux Nephropathy?) as a Cause of End-Stage Renal Failure

1986 ◽  
Vol 27 (6) ◽  
pp. 705-710
Author(s):  
H. S. Thomsen ◽  
S. Dorph
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Reflux Nephropathy ◽  
Clinical Findings ◽  
Striking Similarity ◽  
First Year ◽  
Kidney Transplantations ◽  
End Stage ◽  
First Year Of Life

Various clinical and laboratory aspects in 15 kidney transplanted patients with urographic evidence of caliceal clubbing and adjacent parenchymal scarring in their native kidneys are reported. These lesions were found in 16 per cent of our series of kidney transplantations; below 35 years of age it was the second most frequent disease. In 9 of these patients severe vesicoureteral reflux had been demonstrated. In the remaining 6 patients reflux nephropathy was only a tentative diagnosis based on a striking similarity in the radiographs and in several clinical findings. Nine patients had symptoms (mainly related to urinary tract infection) from 1 to 17 years before diagnosis/urography, in 5 as early as the first year of life. Recurrent urinary tract infection and renal impairment were the most frequent disorders leading to the diagnosis. Replacement therapy was initiated at an average age of 32.7 years. Following renal transplantation urinary tract infection was documented in 37 per cent of patients whether the patient had been bilaterally nephrectomized or not.

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